Individual
JACQUELINE JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3947 WARBLER DR, WINTER HAVEN, FL 33880-5034
(352) 301-1778
(863) 875-6806
Mailing address
1579 NORMANDY HEIGHTS BLVD, WINTER HAVEN, FL 33880-5324
(352) 301-1778
(863) 875-6806
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
234446
FL
172V00000X
Community Health Worker
253ZOOOOOX
FL
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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