Individual
JACKIE JERLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10140 DEER RUN FARMS RD, FORT MYERS, FL 33966-1045
(239) 333-1606
(239) 275-0577
Mailing address
2789 ORTIZ AVE, FORT MYERS, FL 33905-7806
(239) 333-1606
(239) 275-0577
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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