Individual
CHRISTELE LAURORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 S. AUSTRALIAN AVE. STE. 420, PALM BEACH, FL 33409
(855) 832-6727
Mailing address
4575 S.E. DIXIE HIGHWAY, STUART, FL 34997
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0199446
—
FL
Enumeration date
09/06/2017
Last updated
06/16/2018
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