Demetrius Stallworth
Demetrius Stallworth is a Licensed Practical Nurse in Orange Park, Florida. Licensed in Florida. Registered with an NPI since 2017.
- Licensed in
- FL
- In the registry since
- 2017
Practice location Address checks out
490 Vineyard LnOrange Park, FL 32073-7678
Phone: (904) 233-2008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence PN5192381 (FL) |
|---|
Record details
| NPI number | 1629506274 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 26, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 490 Vineyard Ln, Orange Park, FL 32073-7678 |
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