Individual
ALTAGRACE MADISTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3939 S CONGRESS AVE STE 106, LAKE WORTH, FL 33461-4119
(561) 907-9522
Mailing address
3939 S CONGRESS AVE STE 106, LAKE WORTH, FL 33461-4119
(561) 907-9522
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN9490290
FL
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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