Individual
RAEL JAVONA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 S SCOTT AVE, SANFORD, FL 32771-2247
(689) 465-3633
(689) 465-3633
Mailing address
901 S SCOTT AVE, SANFORD, FL 32771-2247
(689) 465-3633
(689) 465-3633
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
240412
FL
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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