Kethly Polissaint

NPI #1134677602 in Fort Pierce, Florida

Provider Information

NPI Number
1134677602
Entity Type
Individual
Name
Kethly Polissaint
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Registered Nurse
Enumeration Date
Sep 14, 2016
Last Updated
Sep 14, 2016

Practice Location

Address
4500 W MIDWAY RD
State
Florida
ZIP Code
34981-4823
Phone
(772) 468-5600

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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