Individual
MRS. FRANSISE DEREZIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
256 SW MOSELLE AVE, PORT ST LUCIE, FL 34984-5028
(718) 838-4313
(772) 237-2234
Mailing address
256 SW MOSELLE AVE, PORT ST LUCIE, FL 34984-5028
(718) 838-4313
(772) 237-2234
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
AL12659
FL
376G00000X
Nursing Home Administrator
Primary
AL12659
FL
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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