| House Of Jewels Llc | |
|
19406 Via Del Mar Apt 305 Tampa FL 33647-3041 | |
| (813) 738-1878 | |
| Not Available |
| Full Name | House Of Jewels Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 19406 Via Del Mar Apt 305, Tampa, Florida |
| Authorized Official Name and Position | Nishauna Ball (OWNER) |
| Authorized Official Contact | 8137381878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| House Of Jewels Llc 19406 Via Del Mar Apt 305 Tampa FL 33647-3041 Ph: (813) 738-1878 | House Of Jewels Llc 19406 Via Del Mar Apt 305 Tampa FL 33647-3041 Ph: (813) 738-1878 |
| NPI Number | 1063309698 |
|---|---|
| Provider Enumeration Date | 06/18/2025 |
| Last Update Date | 06/18/2025 |
| Certification Date | 06/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063309698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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