Individual
PAMELA SUE MARCISZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5421 JONATHAN ST, HASTINGS, FL 32145-6606
(386) 325-6152
Mailing address
5421 JONATHAN ST, HASTINGS, FL 32145-6606
(386) 325-6152
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
263877
NY
164W00000X
Licensed Practical Nurse
Primary
PN5195624
FL
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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