Individual
JASMAIN KANDICE JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2479 ALOMA AVE, WINTER PARK, FL 32792-2541
(321) 233-0222
Mailing address
1025 S BEACH ST, 170, DAYTONA BEACH, FL 32114-6200
(321) 848-5543
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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