Individual
JACQUELINE CARVAJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2517 BOGOTA AVE, HOLLYWOOD, FL 33026-4504
(954) 445-5517
Mailing address
2517 BOGOTA AVE, HOLLYWOOD, FL 33026-4504
(954) 445-5517
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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