Whalio Doctors

NPI 1023383825

Jessie Marie Daniels, LPTA

Practitioner Community Health Worker Lake Worth, FL

Practice location

Address
79 Henthorne Dr, Lake Worth, FL 33461-2917
Phone
(561) 689-1799

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X Licence PTA16575 (FL)

Registry record

NPI
1023383825
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Mar 2012
Record last updated
13 Mar 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.