Individual
MRS. ANQUINETTE HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
115 S PARK AVE, TITUSVILLE, FL 32796-3377
(321) 805-2422
Mailing address
115 S PARK AVE, TITUSVILLE, FL 32796-3377
(321) 805-2422
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5204944
FL
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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