Individual
EDWIDGE DESANGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 SW DAHLED AVE, PORT ST LUCIE, FL 34953-4026
(561) 870-3618
Mailing address
430 SW DAHLED AVE, PORT ST LUCIE, FL 34953-4026
(561) 870-3618
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
333686
FL
Other
Enumeration date
04/20/2024
Last updated
04/20/2024
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