Individual
KAREN WYSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
842 NEW ZEALAND AVE NW, PALM BAY, FL 32907-7760
(321) 953-9771
Mailing address
842 NEW ZEALAND AVE NW, PALM BAY, FL 32907-7760
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 5145566
FL
Other
Enumeration date
11/19/2007
Last updated
11/19/2007
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