TKA LLARISSA JOY FOSTER

LAUDERDALE LAKES, FL
NPI1194398107
Former NameTKA LLARISSA JOY NEMBHARD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner Acute Care
(Licence: FL  11014241)
Enumeration Date2021-07-19
Last Update Date2021-07-19
Business Address
TKA LLARISSA JOY FOSTER APRN
3429 NW 44TH ST APT 104
LAUDERDALE LAKES, FL 33309-4270
Phone number: 754-245-3120
Mailing Address
TKA LLARISSA JOY FOSTER APRN
3429 NW 44TH ST APT 104
LAUDERDALE LAKES, FL 33309-4270
Phone number: 754-245-3120
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