Individual
MRS. SIJI OMMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
18600 SW 16TH ST, PEMBROKE PINES, FL 33029-6132
(786) 382-1218
Mailing address
18600 SW 16TH ST, PEMBROKE PINES, FL 33029-6132
(786) 382-1218
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
ARNP 9243268
FL
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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