Individual
CHERYL WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4631 NW BIGHORN AVE, PORT ST LUCIE, FL 34983-8329
(917) 902-3511
Mailing address
4631 NW BIGHORN AVE, PORT ST LUCIE, FL 34983-8329
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA 84458
FL
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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