Individual
MRS. KETTLY JEAN-BAPTISTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2722 CONVENTRY LANE, OCOEE, FL 34761
(321) 947-8388
Mailing address
2722 COVENTRY LN, OCOEE, FL 34761-8619
(321) 947-8388
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5165475
FL
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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