Dane Jack

NPI #1427815034 in Eustis, Florida

Provider Information

NPI Number: 1427815034
Entity Type: Individual
Name: Dane Jack
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Feb 29, 2024
Last Updated: Feb 29, 2024

Practice Location

Address: 1450 HIGHLAND AVE
City: Eustis
State: Florida
ZIP Code: 32726-5738
Phone: (352) 434-5158

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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