Individual
ELVANETTE ANTENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4333 SW ATHENA DR, PORT ST LUCIE, FL 34953-5470
(772) 344-3499
Mailing address
4333 SW ATHENA DR, PORT ST LUCIE, FL 34953-5470
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 9165992
FL
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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