Individual
MRS. MARISOL CAMILLE ATKINSON-RENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2789 ORTIZ AVE, FORT MYERS, FL 33905-7806
(239) 791-1586
Mailing address
2789 ORTIZ AVE, FORT MYERS, FL 33905-7806
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5172462
FL
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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