Individual
MR. DESMOND GERALD JAMES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17725 STARFISH CT, C, LUTZ, FL 33558-6024
(813) 917-4033
Mailing address
17725 STARFISH CT, C, LUTZ, FL 33558-6024
(813) 917-4033
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
PTA 20327
FL
174400000X
Specialist
PTA 20327
FL
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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