Individual
MINOUCHE LEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3211 HIBISCUS AVE, FORT PIERCE, FL 34947-7240
(772) 621-9776
Mailing address
3211 HIBISCUS AVE, FORT PIERCE, FL 34947-7240
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA 38036
FL
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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