Individual
SAMANTHA TALICIA MCBEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1672 BELLA VISTA WAY, PORT ST LUCIE, FL 34952-2634
(954) 290-4566
Mailing address
1672 BELLA VISTA WAY, PORT ST LUCIE, FL 34952-2634
(954) 290-4566
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
334545
FL
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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