Izana Victor

NPI 1154515450 - Nurse's Aide - 376K00000X

NPI Details
NPI 1154515450
Gender Female
Enumeration Date 08/29/2007
Last Updated 08/29/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
214 SW AUBUDON AVE
PORT ST LUCIE FL, 34984-5030, US
Phone (772) 626-4687
Fax
Business Location
214 SW AUBUDON AVE
PORT ST LUCIE FL, 34984-5030, US
Phone
Fax
Toxanomy
Taxonomy Code 376K00000X
License State Florida
License Number CNA37544
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According to our database, Izana Victor NPI is 1154515450, taxonomy code is 376K00000X and license number is CNA37544, license state is located at Florida. Izana Victor physically located at 214 Sw Aubudon Ave, Port St Lucie FL, 34984-5030. NPI Number Izana Victor has the Individual type.

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1154515450 NPI number is provided on an as is basis without warranty of any kind. 1154515450 is maintained by the National Plan & Provider Enumeration System. The contents of Izana Victor are for informational purposes only.