Individual
PHEDIA JEAN BAPTISTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4709 NW 9TH DR, PLANTATION, FL 33317-1482
(954) 200-4565
Mailing address
4709 NW 9TH DR, PLANTATION, FL 33317-1482
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5233570
FL
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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