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Jennifer Desruisseaux
Student in an Organized Health Care Education/Training Program in Fort Lauderdale, Florida
NPI 1770174534

Jennifer Desruisseaux is a Student in an Organized Health Care Education/Training Program based in Coral Springs, FL. Jennifer Desruisseaux practices in Fort Lauderdale, FL. The NPI Number for Jennifer Desruisseaux is 1770174534 and holds a License No. (Florida).

The current practice location address for Jennifer Desruisseaux is 6416 Nw 5Th Way, Fort Lauderdale, FL and can be reached out via phone at 888-754-0398.

Location: 6416 Nw 5Th Way, Fort Lauderdale, FL, 33071-5620
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770174534
Provider Name
Jennifer Desruisseaux
Credential
Provider Entity Type
Individual
Gender
Female
Address
6416 Nw 5Th Way, Fort Lauderdale, FL, 33071-5620
Phone Number
888-754-0398
Fax Number
Provider Enumeration Date
02/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6416 Nw 5Th Way
City
Fort Lauderdale
State
Florida
Zip
33309-6112
Phone Number
888-754-0398
Fax Number
person
Provider Business Mailing Address Details
Address
6416 Nw 5Th Way
City
Fort Lauderdale
State
Florida
Zip
33309-6112
Phone Number
888-754-0398
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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