Individual
MAKENSON JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 CLEVELAND ST APT A6, LAKE WORTH, FL 33461-4854
(561) 480-6563
Mailing address
111 CLEVELAND ST APT A6, LAKE WORTH, FL 33461-4854
(561) 480-6563
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
FL
Other
Enumeration date
03/11/2018
Last updated
03/11/2018
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