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Individual

JACQUELINE LONGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
10510 NW 18TH PL, PEMBROKE PINES, FL 33026-2366
(786) 226-3449
Mailing address
10510 NW 18TH PL, PEMBROKE PINES, FL 33026-2366
(786) 226-3449

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary

Other

Enumeration date
03/31/2025
Last updated
03/31/2025
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