Individual
JULIET D PROVIDENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1317 EDGEWATER DR # 4354, ORLANDO, FL 32804-6350
(321) 335-4327
(407) 789-3637
Mailing address
1317 EDGEWATER DR # 4354, ORLANDO, FL 32804-6350
(424) 206-0650
(407) 789-3637
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01139113
THE CALIFORNIA BOARD OF REGISTERED NURSING
CA
Enumeration date
04/06/2022
Last updated
04/06/2022
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