Individual
MR. JAMEL VONTARIUS CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2665 MISSION ROAD., TALLAHASSEE, FL 32304
(850) 544-3748
Mailing address
2665 MISSION ROAD, TALLAHASSEE, FL 32304
(850) 544-3748
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
08/05/2020
Last updated
06/08/2023
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