Individual
MRS. JANICE REBECCA JETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
828A HIGHWAY 277, CHIPLEY, FL 32428-2517
(850) 415-6422
Mailing address
828A HIGHWAY 277, CHIPLEY, FL 32428-2517
(850) 415-6422
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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