Individual
BERNICE PALMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
278 LASALLE LEFALL DR, QUINCY, FL 32351-5324
(850) 627-9149
Mailing address
278 LASALLE LEFALL DR, QUINCY, FL 32351-5324
(850) 627-9149
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1074601
FL
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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