Female

Jolene J. De La Gardelle MPA

Counselor in Tampa, FL(View on Map)

Full Name

Jolene Jolene De La Gardelle MPA

NPI Number

1194835801

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/30/2006

Specialties

(Taxonomies)

Code

101Y00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

5510 N HESPERIDES ST
5510 N HESPERIDES ST

City

Tampa
Tampa

State

FL
FL

Postal Code

33614-5414
33614-5414

Country

US
US

Telephone Number

(813) 467-6111
(813) 467-6111

Identifiers

Identifier

766798100

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/26/2024

Provider Address

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