Individual
LUZ MEDY LEBRON MONCLOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5681 EDENFIELD RD, APT. 1005, JACKSONVILLE, FL 32277-1469
(904) 314-9156
Mailing address
5681 EDENFIELD RD, APT. 1005, JACKSONVILLE, FL 32277-1469
(904) 314-9156
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
RN9227949
FL
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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