Individual
DE'JA JA'NEY WIMBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2511 NW 18TH PL, CAPE CORAL, FL 33993-8449
(239) 745-1392
Mailing address
2511 NW 18TH PL, CAPE CORAL, FL 33993-8449
(239) 745-1392
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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