Organization
ECHELON PREMIUM HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAUDINE ROWENA GEORGE ARNP,DNP (MANAGER)
(772) 626-1002
Entity
Organization
Contact information
Practice address
4574 SW TABOR ST, PORT SAINT LUCIE, FL 34953-6740
(772) 626-1002
Mailing address
4574 SW TABOR ST, PORT SAINT LUCIE, FL 34953-6740
(772) 626-1002
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
—
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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