Individual
MRS. DIAMANTE LARISA-ALYCE COUTURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
36850 COUNTY ROAD 52, DADE CITY, FL 33525-5199
(352) 524-5500
Mailing address
36850 COUNTY ROAD 52, DADE CITY, FL 33525-5199
(352) 524-5500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9577214
FL
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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