Individual
KRISTOPHER MARCUS JABOUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7675 NW 20TH CT, SUNRISE, FL 33322-3901
(954) 531-4707
Mailing address
6812 NW 66TH AVE, PARKLAND, FL 33067-1407
(954) 531-4707
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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