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Ewelina Skomorochow
Student in an Organized Health Care Education/Training Program in Port St Lucie, Florida
NPI 1902365984

Ewelina Skomorochow is a Student in an Organized Health Care Education/Training Program based in Kansas City, FL. Ewelina Skomorochow practices in Port St Lucie, FL. The NPI Number for Ewelina Skomorochow is 1902365984 and holds a License No. (Florida).

The current practice location address for Ewelina Skomorochow is 1800 Se Tiffany Ave, Port St Lucie, FL and can be reached out via phone at 772-398-3623.

Location: 1800 Se Tiffany Ave, Port St Lucie, FL, 64112-1721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902365984
Provider Name
Ewelina Skomorochow
Credential
Provider Entity Type
Individual
Gender
Female
Address
1800 Se Tiffany Ave, Port St Lucie, FL, 64112-1721
Phone Number
772-398-3623
Fax Number
Provider Enumeration Date
03/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1800 Se Tiffany Ave
City
Port St Lucie
State
Florida
Zip
34952-7521
Phone Number
772-398-3623
Fax Number
person
Provider Business Mailing Address Details
Address
1800 Se Tiffany Ave
City
Port St Lucie
State
Florida
Zip
34952-7521
Phone Number
772-398-3623
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.
()
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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