Provider Demographics
NPI:1255055687
Name:FRENCH, CONSTANCE VIRGINIA
Entity type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:VIRGINIA
Last Name:FRENCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3042 NEWPORT N
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-2657
Mailing Address - Country:US
Mailing Address - Phone:954-429-0489
Mailing Address - Fax:
Practice Address - Street 1:3042 NEWPORT N
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-2657
Practice Address - Country:US
Practice Address - Phone:954-429-0489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program