Individual
CHRISTEPHANIE ADELPHONSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
419 SW DAHLED AVE, PORT SAINT LUCIE, FL 34953-4027
(954) 639-3834
Mailing address
419 SW DAHLED AVE, PORT SAINT LUCIE, FL 34953-4027
(954) 639-3834
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5251560
FL
Other
Enumeration date
01/23/2022
Last updated
01/23/2022
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