Individual
EVETTA' MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7664 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-2315
(312) 662-2438
Mailing address
7664 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-2315
(312) 662-2438
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
75824
TN
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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