Individual
JESSICA CANADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2407 AVENUE B NW, WINTER HAVEN, FL 33880-2243
(863) 605-6363
Mailing address
1911 15TH ST NW, WINTER HAVEN, FL 33881-1301
(863) 605-6363
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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