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Individual

MRS. SEDIAH JALEIBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA,CLT

Contact information

Practice address
2813 SLICE CT, PORT ST LUCIE, FL 34952-3184
(703) 798-1599
(866) 221-7925
Mailing address
2813 SLICE CT, PORT ST LUCIE, FL 34952-3184
(703) 798-1599
(866) 221-7925

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
20455
FL

Other

Enumeration date
09/03/2010
Last updated
09/03/2010
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