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Individual

JAMZIE DARLENE FIRESTONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, RN

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9204412
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN9204412
STATE OF FL DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
FL
Enumeration date
03/29/2016
Last updated
03/29/2016
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