Individual
MRS. ANGEL BRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3903 MARTIN LUTHER KING BLVD, SUITE 5, FORT MYERS, FL 33916-4805
(866) 717-4555
Mailing address
3903 MARTIN LUTHER KING BLVD, SUITE 5, FORT MYERS, FL 33916-4805
(866) 717-4555
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
PN5156727
FL
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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