Individual
JOSIAS CAJILUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13304 GRAHAM YARDEN DR, RIVERVIEW, FL 33579-2388
(813) 422-8563
Mailing address
13304 GRAHAM YARDEN DR, RIVERVIEW, FL 33579-2388
(813) 422-8563
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007236300
—
FL
Enumeration date
12/16/2018
Last updated
12/16/2018
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