Individual
JESSICA LICALZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21565 EUCALYPTUS WAY, BOCA RATON, FL 33433-3741
(732) 965-4323
Mailing address
21565 EUCALYPTUS WAY, BOCA RATON, FL 33433-3741
(732) 965-4323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9511995
FL
Other
Enumeration date
07/21/2022
Last updated
06/07/2024
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