Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CI306 | FL |
NPI | 1164969432 |
---|---|
Provider Name | Yolaine Saint Fort |
First Address | Delray Beach, FL 33446-2896 |
Second Address | Palm Springs, FL 33461-2169 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2017 |
Last Update Date | 25/01/2017 |