Individual
JAMECA DENNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 S LEE AVE, ARCADIA, FL 34266-3625
(863) 244-1648
Mailing address
PO BOX 343, ARCADIA, FL 34265-0343
(863) 244-1648
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477176378
—
FL
Enumeration date
05/26/2020
Last updated
04/26/2021
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