Individual
MRS. JORDAN ANNELIESE SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3215 WINTER LAKE RD, LAKELAND, FL 33803-9709
(863) 648-3057
Mailing address
5312 NICHOLS DR W, LAKELAND, FL 33812-4042
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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