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Individual

JOANNE RAE PAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N CERTIFIED CAPPA

Contact information

Practice address
441 PONTEVEDRA RD, DAVENPORT, FL 33837-2545
(708) 772-5031
Mailing address
441 PONTEVEDRA RD, DAVENPORT, FL 33837-2545
(708) 772-5031

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SSN
FL
Enumeration date
01/25/2023
Last updated
01/25/2023
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