Individual
ROSE LEDOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
803 FAIRMAIDEN LN APT 2, BRANDON, FL 33511-5885
(337) 302-9336
Mailing address
803 FAIRMAIDEN LN APT 2, BRANDON, FL 33511-5885
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
9321086
FL
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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