Individual
ALINE DJIADJEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
932 FENNEL SEED WAY, RUSKIN, FL 33570-5445
(925) 393-8005
Mailing address
3060AVE, RUSKIN, FL 33570
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95352087
CA
163W00000X
Registered Nurse
Primary
9577755
FL
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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