Individual
VICTORIA M DEJESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1585 MALALUKA ST, DELTONA, FL 32725-7555
(407) 285-1551
Mailing address
1585 MALALUKA ST, DELTONA, FL 32725-7555
(407) 285-1551
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5152157
FL
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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