Individual
MARIE LUNIE CHRYSOSTOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1850 SW OUR CT, PORT ST LUCIE, FL 34987-2099
(772) 240-8636
Mailing address
10380 SW VILLAGE CENTER DR # 149, PORT ST LUCIE, FL 34987-1931
(772) 925-4245
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA214089
FL
Other
Enumeration date
09/25/2017
Last updated
07/21/2022
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