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Individual

JORDAIJA DAVISIA FARNUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2510 11TH AVE E, BRADENTON, FL 34208-3056
(941) 920-2848
(941) 708-3193
Mailing address
2510 11TH AVE E, BRADENTON, FL 34208-3056
(941) 920-2848
(941) 708-3193

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
08/15/2019
Last updated
08/15/2019
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