Individual
JETERIA SALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13106 SONOMA BEND PL, GIBSONTON, FL 33534-3925
(813) 541-5502
Mailing address
13106 SONOMA BEND PL, GIBSONTON, FL 33534-3925
(813) 541-5502
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/06/2021
Last updated
11/06/2021
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