Individual
MARY LOU DEAUNA AQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
(772) 672-8453
(772) 467-3055
Mailing address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
(772) 672-8453
(772) 467-3055
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN 9278252
FL
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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