Individual
ERIKA L. DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 NE 56TH ST, FORT LAUDERDALE, FL 33334-1714
(954) 512-4618
Mailing address
280 NE 56TH ST, FORT LAUDERDALE, FL 33334-1714
(954) 512-4618
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9626474
FL
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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