Mervis Jackson-Moodie

NPI #1346602075 in Miramar, Florida

Provider Information

NPI Number: 1346602075
Entity Type: Individual
Name: Mervis Jackson-Moodie
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Adult Companion
Enumeration Date: Mar 22, 2016
Last Updated: Mar 22, 2016

Practice Location

Address: 8424 LONG ACRE DR
City: Miramar
State: Florida
ZIP Code: 33025-2816
Phone: (786) 553-6164

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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