Individual
JANE SOLANGE DURANGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 N 2ND ST, SUITE 301, FORT PIERCE, FL 34950-4435
(772) 595-3773
(772) 464-0087
Mailing address
1965 SW HAMPSHIRE LN, PORT ST LUCIE, FL 34953-2052
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/01/2012
Last updated
07/01/2012
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