AMBER LARUE QUEEN

MELBOURNE, FL
NPI1194033860
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PA9105647)
Enumeration Date2010-09-16
Last Update Date2020-02-18
Business Address
Mrs. AMBER LARUE QUEEN PA
1314 OAK ST
MELBOURNE, FL 32901-3111
Phone number: 321-727-7992
Mailing Address
Mrs. AMBER LARUE QUEEN PA
1314 OAK ST
MELBOURNE, FL 32901-3111
Phone number: 321-727-7992
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