Individual
PRUDENCE BASTIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
105 MIMOSA ST, ROYAL PALM BEACH, FL 33411-8004
(561) 232-6158
(561) 731-7236
Mailing address
105 MIMOSA ST, ROYAL PALM BEACH, FL 33411-8004
(561) 232-6158
(561) 731-7236
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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