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Individual

ROSE ANDREE DESTINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1489 N MILITARY TRL STE 112, WEST PALM BEACH, FL 33409-6030
(561) 633-1404
Mailing address
1489 N MILITARY TRL STE 112, WEST PALM BEACH, FL 33409-6030
(561) 633-1404

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9466371
FL
291U00000X
Clinical Medical Laboratory
Primary
376J00000X
Homemaker
23838
FL

Other

Enumeration date
10/16/2017
Last updated
09/28/2021
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