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Jerry Mawali

NPI 1740772474 · on the registry since 2018 · sole proprietor

Practice

Address
17467 Fox Trail Ln
Loxahatchee, FL 33470
Phone
(561) 371-9549

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-05-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida