Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Jul 18, 2018
License(s)
ARNP9283795 (FL), 735782 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 4241 FLORIN RD | Sacramento, CA 95823-2535 | 916-469-4690 |
| MAILING | 12619 ASHLEY MELISSE BLVD | Jacksonville, FL 32225-5772 | 904-705-7208 |
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