Individual
VANESSA JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2945 NE 3RD ST STE 202, OCALA, FL 34470-9020
(352) 281-6727
Mailing address
PO BOX 1343, OCALA, FL 34478-1343
(352) 281-6727
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
236532
FL
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
236532
FL
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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