Individual
JENNY VANESSA PACKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7941 NW 2ND ST, MIAMI, FL 33126-8000
(305) 263-6363
(305) 263-6323
Mailing address
7941 NW 2ND ST, MIAMI, FL 33126-8000
(305) 263-6363
(305) 263-6323
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
9178
FL
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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