Khadiyah Joseph
Clinic/Center, Developmental Disabilities in Palm Bay, FL. Individual provider (NPI-1).
NPI number1699201624
StatusActive
Last updated in NPPESMay 11, 2017
Details
- NPI
- 1699201624
- Entity type
- Individual (NPI-1)
- Name
- Khadiyah Joseph
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 11, 2017
- Last updated
- May 11, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | Yes |
Practice location
1376 Walthan St SePalm Bay, FL 32909-6053
Phone 321-423-0713
Mailing address
1376 Walthan St SePalm Bay, FL 32909-6053
Phone 321-423-0713
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All 11 Developmental Disabilities Clinic/Center providers in Palm Bay · All 1,789 providers in Palm Bay
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