Individual
MS. KESHIA MOMPEROUSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5226 27TH ST SW, LEHIGH ACRES, FL 33973-6614
(786) 655-3109
Mailing address
5226 27TH ST SW, LEHIGH ACRES, FL 33973-6614
(786) 655-3109
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9549125
FL
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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