Individual
LETICIA HOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1932 SW CRANBERRY ST, PORT ST LUCIE, FL 34953-1768
(772) 873-8903
Mailing address
1932 SW CRANBERRY ST, PORT ST LUCIE, FL 34953-1768
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 5174785
FL
Other
Enumeration date
07/23/2007
Last updated
07/23/2007
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