Individual
VAN HALENE PAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8954 LANTANA RD, LAKE WORTH, FL 33467-6112
(561) 434-4776
Mailing address
8954 LANTANA RD, LAKE WORTH, FL 33467-6112
(561) 434-4776
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9530624
FL
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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