Individual
KAREN BRANSCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1780 SW JAMESPORT DR, PORT ST LUCIE, FL 34953-4355
(772) 345-2265
Mailing address
1780 SW JAMESPORT DR, PORT ST LUCIE, FL 34953-4355
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 5146298
FL
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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