ALEXIS PRICKETT ADAMS

BRANDON, FL
NPI1114493889
Former NameMARY ALEXIS PRICKETT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9113188)
Additional Taxonomies363AM0700X Physician Assistant, Medical
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-10-19
Last Update Date2024-07-16
Business Address
ALEXIS PRICKETT ADAMS
203 W BLOOMINGDALE AVE
BRANDON, FL 33511-7404
Phone number: 813-654-1110
Mailing Address
ALEXIS PRICKETT ADAMS
203 W BLOOMINGDALE AVE
BRANDON, FL 33511-7404
Phone number: 813-654-1110