Most Relevant Information
Provider Data
| NPI Number: | 1003431727 |
| Provider Name: | PATRICIA ENNIX |
| Entity Type: | Individual |
| Taxonomy Code: | 376K00000X |
| Specialty: | Nurse's Aide |
| License Number: | CNA210701 |
Most Important Dates
| Enumeration Date: | 06/09/2020 |
| Last Updated: | 06/09/2020 |
Provider Practice Location
8670 63RD AVE
VERO BEACH
FL
329675474
Practice Location Phone/Fax
| Phone: | 7725633070 |
| Fax: |
Provider Mailing Location
8670 63RD AVE
VERO BEACH
FL
329675474
Provider Mailing Phone/Fax
| Phone: | 7725633070 |
| Fax: |