Individual
AMIDE PHILOGENE NECENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 PORTER PL, WEST PALM BEACH, FL 33409-3709
(561) 856-5194
(561) 686-4142
Mailing address
113 PORTER PL, WEST PALM BEACH, FL 33409-3709
(561) 856-5194
(561) 686-4142
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5166430
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693630096
—
FL
Enumeration date
02/13/2023
Last updated
02/13/2023
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