Individual
MR. JEROME WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
816 W CANAL ST S, BELLE GLADE, FL 33430-2942
(561) 449-7482
Mailing address
248 CARVER PL, PAHOKEE, FL 33476-2218
(561) 449-7482
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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