Individual
CONSTANCE CUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
119 NE 19TH CT, UNIT G-118, WILTON MANORS, FL 33305-1043
(954) 873-4822
(954) 390-0420
Mailing address
PO BOX 23007, FORT LAUDERDALE, FL 33307-3007
(954) 227-8224
(954) 227-7442
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN1698912
FL
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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