Individual
JAHAIDA ZAVALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2231 MCGREGOR BLVD, FORT MYERS, FL 33901-3311
(239) 337-2391
Mailing address
2231 MCGREGOR BLVD, FORT MYERS, FL 33901-3311
(239) 337-2391
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z140420789150
DRIVER'S LICENSE
FL
Enumeration date
07/10/2012
Last updated
09/24/2012
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