Individual
MRS. CAROL LEVESQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
(772) 672-8452
Mailing address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
(772) 672-8452
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9323196
FL
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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