Individual
RENE DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8370 NW 39TH CT, PEMBROKE PINES, FL 33024-5053
(305) 505-0534
Mailing address
8370 NW 39TH COURT, PEMBROKE PINES, FL 33024
(754) 229-8515
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
9305290
FL
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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