Individual
ALYSSA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2416 GREENWOOD OAK DR, OCOEE, FL 34761-5156
(727) 235-1346
Mailing address
2416 GREENWOOD OAK DR, OCOEE, FL 34761-5156
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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