Individual
CHARLENE PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14561 DAFFODIL DR APT 1902, FORT MYERS, FL 33919-7482
(239) 331-9432
Mailing address
14561 DAFFODIL DR APT 1902, FORT MYERS, FL 33919-7482
(239) 331-9432
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5207616
FL
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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