J Dedeaux

NPI #1922493840 in Pace, Florida

Provider Information

NPI Number: 1922493840
Entity Type: Individual
Name: J Dedeaux
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 30, 2015
Last Updated: Mar 30, 2015

Practice Location

Address: 4450 RIVERVIEW PL
City: Pace
State: Florida
ZIP Code: 32571-8934
Phone: (850) 450-5573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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