Individual
JULIET LAFAY DUDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
220 SW 5TH ST, HAVANA, FL 32333-2002
(850) 591-6939
Mailing address
220 SW 5TH ST, HAVANA, FL 32333-2002
(850) 591-6939
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5171797
FL
Other
Enumeration date
08/13/2016
Last updated
08/13/2016
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