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Individual

ERRICA JAMIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
903 LAKE LILY DR, B305, MAITLAND, FL 32751-7603
(321) 279-0160
Mailing address
903 LAKE LILY DR, B305, MAITLAND, FL 32751-7603
(321) 279-0160

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
3460
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3460
HOME HEALTH AIDE
FL
Enumeration date
09/11/2015
Last updated
09/11/2015
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