Individual
GLENDALYS DUARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
880 SW 145TH AVE STE 202, PEMBROKE PINES, FL 33027-6171
(866) 849-0692
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041538550
IL
163W00000X
Registered Nurse
1019862
TX
163W00000X
Registered Nurse
1688600
CO
163W00000X
Registered Nurse
2289153
MA
163W00000X
Registered Nurse
269150
AZ
163W00000X
Registered Nurse
489735
OH
163W00000X
Registered Nurse
Primary
9545335
FL
Other
Enumeration date
08/14/2024
Last updated
08/16/2024
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