Individual
ENICE JEAN PHILLIPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6561 RACQUET CLUB DR, LAUDERHILL, FL 33319-5096
(305) 303-7772
Mailing address
6561 RACQUET CLUB DR, LAUDERHILL, FL 33319-5096
(305) 303-7772
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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