Individual
PAULINE LAQUITA PRUDENT WOODS-FISCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2950 GEMSTONE CIR, PACE, FL 32571-9801
(240) 477-3179
Mailing address
2950 GEMSTONE CIR, PACE, FL 32571-9801
(240) 477-3179
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN444274
FL
Other
Enumeration date
03/22/2020
Last updated
03/22/2020
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