DAEGAVINCHRIS,LLC

PORT ST LUCIE, FL
NPI1891337655
Entity TypeOrganization
Authorized ContactCLAUDINE GEORGE
Owner
772-626-1002
Organization Subpart ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
Enumeration Date2019-10-14
Last Update Date2020-05-08
Business Address
DAEGAVINCHRIS,LLC
4574 SW TABOR ST
PORT ST LUCIE, FL 34953-6740
Phone number: 772-626-1002
Mailing Address
DAEGAVINCHRIS,LLC
4574 SW TABOR ST
PORT ST LUCIE, FL 34953-6740
Phone number: 772-626-1002