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Individual

LOUCIE REGIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1206 N 16TH ST, FORT PIERCE, FL 34950-3201
(772) 940-6665
Mailing address
1206 N 16TH ST, FORT PIERCE, FL 34950-3201

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA 55927
FL

Other

Enumeration date
07/10/2007
Last updated
07/10/2007
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