Individual
MS. PRINCESS LAQA CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2620 NW 19TH ST, FT LAUDERDALE, FL 33311-3324
(786) 659-2598
Mailing address
609 SW 75TH AVE, NORTH LAUDERDALE, FL 33068-1346
(786) 955-4239
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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