Individual
THERESA DENISE MCKNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 CAUSEWAY ST STE 24A, BOSTON, MA 02114-1315
(504) 618-6788
Mailing address
7458 UNIVERSAL BLVD UNIT 4128, ORLANDO, FL 32819-9262
(504) 618-6788
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9372841
FL
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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