Individual
FARRELL RODNEY FRANCISQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3809 LANCOVE WAY, FORT PIERCE, FL 34981-4704
(754) 260-4704
Mailing address
3809 LANCOVE WAY, FORT PIERCE, FL 34981-4704
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5240070
FL
Other
Enumeration date
10/24/2021
Last updated
10/24/2021
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