Individual
JACQUELINE DINNALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2161 NW 188TH AVE, PEMBROKE PINES, FL 33029-3828
(954) 240-2544
Mailing address
2161 NW 188TH AVE, PEMBROKE PINES, FL 33029-3828
(954) 240-2544
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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