Individual
MISS NATISSIA LASHONDA ADDERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1038 TRINIDAD AVE, FORT PIERCE, FL 34982
(772) 216-6753
Mailing address
1038 TRINIDAD AVE, FORT PIERCE, FL 34982
(772) 216-6753
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5165778
FL
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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