Individual
STEPHANIE CULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2381 SW COOPER LN, PORT ST LUCIE, FL 34984-5056
(772) 631-5659
Mailing address
2381 SW COOPER LN, PORT ST LUCIE, FL 34984-5056
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA 60044
FL
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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