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Organization

FULL-OUT WELLNESS HEALTHCARE STAFFING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TASHANA LAPIERRE (ADMINISTRATOR)
(904) 307-9493
Entity
Organization

Contact information

Practice address
9263 THUNDERBOLT DR, JACKSONVILLE, FL 32221-8054
(904) 307-9493
Mailing address
9263 THUNDERBOLT DR, JACKSONVILLE, FL 32221-8054
(904) 307-9493

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1757
FL
164W00000X
Licensed Practical Nurse
1757
FL
251J00000X
Nursing Care Agency
Primary
1757
FL
374700000X
Technician
1757
FL
376K00000X
Nurse's Aide
1757
FL

Other

Enumeration date
11/26/2014
Last updated
04/27/2015
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