Individual
TECIA RAE DEJESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
350 CHAMPION RING RD, FORT MYERS, FL 33905
(239) 313-2900
Mailing address
911 SE 10TH ST APT 2B, CAPE CORAL, FL 33990-3050
(239) 699-3317
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
9575465
FL
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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