Individual
JULOUSE ETIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1700 S 23RD ST, FORT PIERCE, FL 34950-4899
(772) 461-4000
Mailing address
5574 55TH AVE, VERO BEACH, FL 32967-2460
(954) 592-6977
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
9344569
FL
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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