Individual
MR. EVANS JAMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2527 JACKSON ST, HOLLYWOOD, FL 33020-4930
(954) 628-5187
Mailing address
2527 JACKSON ST, HOLLYWOOD, FL 33020-4930
(786) 487-9904
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
310400000X
FL
Other
Enumeration date
07/20/2016
Last updated
08/28/2016
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