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Individual

DIANELYS ROUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3801 S KANNER HWY, STUART, FL 34994-4801
(772) 233-4999
Mailing address
3901 DESIGN CENTER DR, PALM BEACH GARDENS, FL 33410-4246
(561) 776-0116

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11022925
FL

Other

Enumeration date
11/07/2022
Last updated
07/05/2024
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