Individual
JACQUELINE NILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13016 HOOPER RD, WEEKI WACHEE, FL 34614-2808
(352) 942-1242
Mailing address
13016 HOOPER RD, WEEKI WACHEE, FL 34614-2808
(352) 942-1242
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/08/2020
Last updated
03/08/2020
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