Individual
JANICE ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1511 SURGEONS DR, TALLAHASSEE, FL 32308-4632
(850) 701-0621
(850) 297-2020
Mailing address
PO BOX 12427, TALLAHASSEE, FL 32317-2427
(850) 297-0114
(850) 297-2020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2327
FL
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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