Nicolas Etienne
Nicolas Etienne is a Developmental Disabilities Clinic/Center in Brandon, Florida. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
3511 S Kings AveBrandon, FL 33511-7719
Phone: (609) 284-6272
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Specialties & licences
| Developmental Disabilities Clinic/Center (primary) | Taxonomy 261QD1600X |
|---|
Record details
| NPI number | 1386287654 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 19, 2019 |
| Last updated in NPPES | October 19, 2019 |
| Mailing address | 3511 S Kings Ave, Brandon, FL 33511-7719 |
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