Individual
MS. TETEISHA S PARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1404 HALE CT, FORT PIERCE, FL 34982-3634
(177) 294-0130
Mailing address
1404 HALE CT, FORT PIERCE, FL 34982-3634
(177) 294-0130
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5234347
FL
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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