Individual
JENNIFER KELLY IRINEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9550 US HIGHWAY 19 STE 202, PORT RICHEY, FL 34668-4648
(727) 494-7609
Mailing address
9550 US HIGHWAY 19 STE 202, PORT RICHEY, FL 34668-4648
(727) 494-7609
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/03/2020
Last updated
05/03/2020
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