Individual
MRS. CATHY HELEN MCCALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8525 100TH CT, VERO BEACH, FL 32967-3365
(772) 589-1957
Mailing address
8525 100TH CT, VERO BEACH, FL 32967-3365
(772) 589-1957
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689007596
—
FL
05
—
689007598
—
FL
Enumeration date
10/21/2010
Last updated
10/21/2010
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