Individual
KHADIJAH GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2818 19TH ST W, LEHIGH ACRES, FL 33971-5579
(239) 634-7939
Mailing address
2818 19TH ST W, LEHIGH ACRES, FL 33971-5579
(239) 634-7939
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
FL
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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