Registry details
Type
Individual
Primary specialty
Nurse Practitioner
Enumerated
Oct 1, 2021
License(s)
APRN11015716 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 198054 | Atlanta, GA 30384-8054 | |
| LOCATION | 8950 N KENDALL DR STE 507W | Miami, FL 33176-2128 | 786-204-4204 |
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