IKOLA BACCAS

PORT ST LUCIE, FL
NPI1649964693
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN11025212)
Enumeration Date2023-06-05
Last Update Date2023-06-05
Business Address
IKOLA BACCAS APRN
3610 SW PERRY CT
PORT ST LUCIE, FL 34953-3544
Phone number: 772-240-5380
Mailing Address
IKOLA BACCAS APRN
3610 SW PERRY CT
PORT ST LUCIE, FL 34953-3544
Phone number: 772-240-5380
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