TAMMY LEE DERITO

GAINESVILLE, FL
NPI1194938084
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WV  23965)
Enumeration Date2007-05-07
Last Update Date2007-07-08
Business Address
Ms. TAMMY LEE DERITO LPN
1601 SW ARCHER RD
GAINESVILLE, FL 32608-1135
Phone number: 352-374-6047
Mailing Address
Ms. TAMMY LEE DERITO LPN
2449 BROOK PARK WAY
JACKSONVILLE, FL 32246-9334
Phone number: 904-551-2373
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