Individual
DENISE WAITHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 PLUMAGE LN, WEST PALM BEACH, FL 33415-2663
(561) 684-6286
Mailing address
74 PLUMAGE LN, WEST PALM BEACH, FL 33415-2663
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5161203
FL
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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