Individual
KAPOUCHINE PHAREL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3078 QUANTUM LAKES DR, BOYNTON BEACH, FL 33426-8334
(857) 247-8906
Mailing address
3078 QUANTUM LAKES DR, BOYNTON BEACH, FL 33426-8334
(857) 247-8906
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5151128
FL
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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