Individual
LUDEN BUNCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2218 SW PLYMOUTH ST, PORT ST LUCIE, FL 34953
(305) 491-0809
Mailing address
2218 SW PLYMOUTH ST, PORT ST LUCIE, FL 34953
(305) 491-0809
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9192619
FL
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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