Individual
AJAHLIQUE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12723 ADVENTURE DR, RIVERVIEW, FL 33579-7794
(813) 531-3493
Mailing address
12723 ADVENTURE DR, RIVERVIEW, FL 33579-7794
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9517324
FL
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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