LANISE ALEXIS

PORT ST LUCIE, FL
NPI1881888311
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251J00000X Nursing Care
(Licence: FL  CNA60774)
Enumeration Date2007-08-28
Last Update Date2007-08-28
Business Address
-- LANISE ALEXIS
371 NW ARCHER AVE
PORT ST LUCIE, FL 34983-1109
Phone number: 772-408-0997
Mailing Address
-- LANISE ALEXIS
371 NW ARCHER AVE
PORT ST LUCIE, FL 34983-1109
Phone number: 772-408-0997