Individual
MS. JANE EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9791 55TH AVE N, ST PETERSBURG, FL 33708-3415
(727) 432-5160
Mailing address
9791 55TH AVE N, ST PETERSBURG, FL 33708-3415
(727) 432-5160
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
FL
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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