Individual
JANE BROSSOIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
233 STUARTSBURG RD, BUENA VISTA, VA 24416-4604
(540) 261-5330
Mailing address
8026 LITTLEDOE CT, PORT RICHEY, FL 34668-2318
(727) 452-6663
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5172735
FL
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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