Individual
BRENDA SUE PAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13 PITTWICK LN, PALM COAST, FL 32164-7003
(386) 793-5452
Mailing address
13 PITTWICK LN, PALM COAST, FL 32164-7003
(386) 793-5452
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9337941
FL
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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