Individual
LICHELLE VENZON GUANZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 742-9431
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 742-9431
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9400920
FL
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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