Individual
PRINCESS WYCHE-OGUNTADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
755 27TH AVE SW STE 9&10, VERO BEACH, FL 32968-4200
(772) 257-5264
Mailing address
755 27TH AVE STE 9&10, VERO BEACH, FL 32968-1315
(772) 257-5264
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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