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Raquelita Dejesus, CNA
Developmental Disabilities Clinic/Center in Lakeland, Florida
NPI 1184264574

Raquelita Dejesus is a Developmental Disabilities Clinic/Center based in Lakeland, FL and is specialized in Developmental Disabilities. Raquelita Dejesus practices in Lakeland, FL and has the professional credentials of CNA. The NPI Number for Raquelita Dejesus is 1184264574 and holds a License No. (Florida).

The current practice location address for Raquelita Dejesus is 5736 Monroe Springs Way, Lakeland, FL and can be reached out via phone at 863-440-3125. You can also correspond with Raquelita Dejesus through the mailing address at PO BOX 1462, LAKELAND, FL - 33802-1462 (mailing address contact number: 863-440-3125).

Location: 5736 Monroe Springs Way, Lakeland, FL, 33802-1462
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184264574
Provider Name
Raquelita Dejesus
Credential
CNA
Provider Entity Type
Individual
Gender
Female
Address
5736 Monroe Springs Way, Lakeland, FL, 33802-1462
Phone Number
863-440-3125
Fax Number
Provider Enumeration Date
01/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5736 Monroe Springs Way
City
Lakeland
State
Florida
Zip
33811-1888
Phone Number
863-440-3125
Fax Number
person
Provider Business Mailing Address Details
Address
5736 Monroe Springs Way
City
Lakeland
State
Florida
Zip
33811-1888
Phone Number
863-440-3125
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
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Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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