Individual
TEQUILLA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1270 12TH AVE SW, VERO BEACH, FL 32962-5451
(772) 539-5873
Mailing address
1270 12TH AVE SW, VERO BEACH, FL 32962-5451
(772) 539-5873
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5234912
FL
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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