Individual
JUNA DANASTOR ST FLEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
272 LAKE MONTEREY CIR, BOYNTON BEACH, FL 33426-8442
(954) 471-1201
Mailing address
272 LAKE MONTEREY CIR, BOYNTON BEACH, FL 33426-8442
(954) 471-1201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9339188
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S314424796030
LICENSE
FL
Enumeration date
09/11/2019
Last updated
09/11/2019
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