Individual
JESULA AURELIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2515 46TH AVE W, BRADENTON, FL 34207-1253
(407) 968-0230
Mailing address
2515 46TH AVE W, BRADENTON, FL 34207-1253
(407) 968-0230
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
237932
FL
376J00000X
Homemaker
237932
FL
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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