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Individual

MRS. MELANA ANDREU SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
910 N JEFFERSON ST, JACKSONVILLE, FL 32209-6810
(904) 360-7070
(904) 798-4559
Mailing address
910 N JEFFERSON ST, JACKSONVILLE, FL 32209-6810
(904) 360-7070
(904) 798-4559

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
9187172
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006103
FL
Enumeration date
05/26/2009
Last updated
05/26/2009
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