Individual
PHILLIP-BERNARD JEANTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5056 ASHLEY LAKE DR APT 519, BOYNTON BEACH, FL 33437-3169
(386) 341-7384
Mailing address
5056 ASHLEY LAKE DR APT 519, BOYNTON BEACH, FL 33437-3169
(386) 341-7384
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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