Individual
JEANNETTE INNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5904 NW WHITECAP RD, PORT ST LUCIE, FL 34986-3710
(772) 621-9009
Mailing address
5904 NW WHITECAP RD, PORT ST LUCIE, FL 34986-3710
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA 86734
FL
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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