JAVAN ETTIENE

MIRAMAR, FL
NPI1174197164
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  APRN11013397)
Enumeration Date2021-05-14
Last Update Date2021-06-11
Business Address
JAVAN ETTIENE
7904 LASALLE BLVD
MIRAMAR, FL 33023-4500
Phone number: 954-934-4265
Mailing Address
JAVAN ETTIENE
7904 LASALLE BLVD
MIRAMAR, FL 33023-4500
Phone number: 954-934-4265