Individual
AMOS VLADIMIR ELIEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5029 FOREST DALE DR, LAKE WORTH, FL 33449-4626
(561) 315-8931
Mailing address
5029 FOREST DALE DR, LAKE WORTH, FL 33449-4626
(561) 315-8931
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9503484
FL
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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