Individual
FATIMA MARIE LABROUSSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
8405 BONITA ISLE DR, LAKE WORTH, FL 33467-5530
(561) 703-4590
Mailing address
8405 BONITA ISLE DR, LAKE WORTH, FL 33467-5530
(561) 703-4590
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11010243
FL
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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