Individual
MS. GLADYS LEMORIN CALIXTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSING ASST.
Contact information
Practice address
193 SE FALLON DR, PORT ST LUCIE, FL 34983-3162
(772) 626-1963
(772) 343-9778
Mailing address
193 SE FALLON DR, PORT SAINT LUCIE, FL 34983-3162
(772) 626-1963
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA81920
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
684098196
—
FL
Enumeration date
11/04/2010
Last updated
11/04/2010
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