Individual
KADDYANA JESSICA DEWAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 E HILLSBOROUGH AVE APT 318, TAMPA, FL 33610-4415
(813) 470-9954
Mailing address
2450 E HILLSBOROUGH AVE APT 318, TAMPA, FL 33610-4415
(813) 470-9954
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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