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Individual

ALICE JEAN-CHARLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1100 NW 95TH ST, MIAMI, FL 33150-2038
(305) 835-6000
Mailing address
16725 NW 25TH CT, CAROL CITY, FL 33056-4522
(305) 761-3572

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
95049462
CA
163WG0000X
General Practice Registered Nurse
Primary
RN9367671
FL

Other

Enumeration date
04/02/2019
Last updated
04/02/2019
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