Individual
JACQUELINE P CALLENDER DAVISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4084 MARINA ISLE DR, KISSIMMEE, FL 34746-1833
(347) 856-0792
Mailing address
4084 MARINA ISLE DR, KISSIMMEE, FL 34746-1833
(347) 856-0792
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
FL
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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