Individual
RIDION ROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2075 SW PRUITT ST, PORT ST LUCIE, FL 34953-5732
(772) 873-2847
Mailing address
2075 SW PRUITT ST, PORT ST LUCIE, FL 34953-5732
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 5177002
FL
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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