Individual
ALICIA LASSALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN ,CCM
Contact information
Practice address
3501 SE WILLOUGHBY BLVD, STUART, FL 34994-5059
(772) 288-0304
Mailing address
3501 SE WILLOUGHBY BLVD, STUART, FL 34994-5059
(772) 288-0304
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
—
FL
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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