Individual
JAN O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5511 NAVAHO DR, PENSACOLA, FL 32507-8759
(404) 915-6191
Mailing address
5511 NAVAHO DR, PENSACOLA, FL 32507-8759
(404) 915-6191
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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