J DEDEAUX

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1922493840

Practice Address

4450 RIVERVIEW PL
Pace, FL 32571

Phone: (850) 450-5573

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes S10736 (AL)

Frequently Asked Questions

NPI 1922493840 is the National Provider Identifier for J DEDEAUX, a Student in an Organized Health Care Education/Training Program provider located in Pace, FL. This NPI was enumerated on March 30, 2015.
J DEDEAUX practices at 4450 RIVERVIEW PL, Pace, FL 32571.

Quick Facts

NPI
1922493840
Type
Individual
Enumerated
Mar 30, 2015
Last Updated
Mar 30, 2015

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