Individual
MRS. ANN REBECCA PHANISNARAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2873 MAGNOLIA BLOSSOM CIR, CLERMONT, FL 34711-7498
(321) 297-4634
Mailing address
2873 MAGNOLIA BLOSSOM CIR, CLERMONT, FL 34711-7498
(321) 297-4634
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004318500
—
FL
Enumeration date
02/29/2012
Last updated
02/29/2012
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