LUCEGHENCIE PROSPER JEAN

ORANGE PARK, FL
NPI1982588802
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: PR  002732-PA)
Enumeration Date2025-08-04
Last Update Date2025-08-04
Business Address
LUCEGHENCIE PROSPER JEAN PA
2727 SPOONBILL TRL
ORANGE PARK, FL 32073-1655
Phone number: 904-422-2382
Mailing Address
LUCEGHENCIE PROSPER JEAN PA
2727 SPOONBILL TRL
ORANGE PARK, FL 32073-1655
Phone number: 904-422-2382
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