Individual
MRS. JUANITA KEMP CHAMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
278 LASALLE LEFALL DR, QUINCY, FL 32351-5324
(850) 875-7200
(850) 875-9213
Mailing address
278 LASALLE LEFALL DR, QUINCY, FL 32351-5324
(850) 875-7200
(850) 875-9213
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1336381
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027930730
—
FL
Enumeration date
05/17/2013
Last updated
05/18/2013
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