Individual
JENNIFER ANN MARIE VIRGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12959 PALMS WEST DR STE 220, LOXAHATCHEE, FL 33470-4940
(954) 274-3019
Mailing address
2917 NW 99TH TER, SUNRISE, FL 33322-5885
(954) 297-8287
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
9199157
FL
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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