Individual
RAQUELITA DEJESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2226 MAPLE HILL DR, LAKELAND, FL 33811-1475
(863) 440-3125
Mailing address
PO BOX 1462, LAKELAND, FL 33802-1462
(863) 440-3125
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
12/08/2025
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