Individual
DANIEL ROSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
3763 EVANS AVE, FORT MYERS, FL 33901-9302
(239) 275-3222
Mailing address
4284 ELLEN AVE, FORT MYERS, FL 33901-8917
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5187560
FL
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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