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Individual

JEMIMA A ALEXIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
138 SW AMESBURY AVE, PORT ST LUCIE, FL 34953-6978
(772) 344-2408
Mailing address
138 SW AMESBURY AVE, PORT ST LUCIE, FL 34953-6978
(772) 344-2408

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
CNA 151952
FL

Other

Enumeration date
08/09/2007
Last updated
08/09/2007
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