Individual
BRIANNA DECARISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13695 US HIGHWAY 1, SEBASTIAN, FL 32958-3230
(772) 589-3186
Mailing address
1475 SW LEISURE LN, PORT ST LUCIE, FL 34953-2237
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
9576595
FL
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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