Individual
CECILIA JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
946 SE BAYFRONT AVE, PORT ST LUCIE, FL 34983-3912
(772) 785-5941
Mailing address
946 SE BAYFRONT AVE, PORT ST LUCIE, FL 34983-3912
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1323791
FL
Other
Enumeration date
11/12/2007
Last updated
11/12/2007
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