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Individual

MR. JUAN JOSE SANCHEZ MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
9906 58TH ST E, PARRISH, FL 34219-4444
(941) 981-3623
Mailing address
9906 58TH ST E, PARRISH, FL 34219-4444
(941) 981-3623

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
31515
CO
164W00000X
Licensed Practical Nurse
Primary
PN 5177946
FL

Other

Enumeration date
08/15/2007
Last updated
08/15/2007
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