Individual
WILBERTE AUGUSTA POLYCARPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
232 SW 10TH AVE, BOYNTON BEACH, FL 33435-5924
(561) 260-0293
Mailing address
232 SW 10TH AVE, BOYNTON BEACH, FL 33435-5924
(561) 260-0293
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5195258
FL
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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