Individual
JACKIE TELFAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 PRESTON LN # 34746, KISSIMMEE, FL 34746-0018
(727) 492-3685
Mailing address
2120 PRESTON LN # 34746, KISSIMMEE, FL 34746-0018
(727) 492-3685
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
FL
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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