Individual
MS. AULECAU JACQUELINE ANN PENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 CALATHEA DR, ORLANDO, FL 32818-5748
(407) 664-4200
Mailing address
1402 CALATHEA DR, ORLANDO, FL 32818-5748
(407) 664-4200
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
05/18/2021
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