Individual
SWEET PEACH WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
659 REESE AVE, ORANGE PARK, FL 32065-8214
(904) 505-9419
Mailing address
659 REESE AVE, ORANGE PARK, FL 32065-8214
(904) 505-9419
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
781978
NY
163W00000X
Registered Nurse
Primary
RN9524932
FL
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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