Individual
JACQUELINE LEE ENTERKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7040 LAKE ELLENOR DR, ORLANDO, FL 32809-5750
(407) 858-6143
(407) 856-6594
Mailing address
7040 LAKE ELLENOR DR, ORLANDO, FL 32809-5750
(407) 858-6143
(407) 856-6594
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
RN 9286049
FL
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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