CRYSTAL DANAE VAN DETTE

TAMPA, FL
NPI1215353073
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: FL  ARNP 9268840)
Enumeration Date2014-03-17
Last Update Date2015-08-17
Business Address
-- CRYSTAL DANAE VAN DETTE ARNP
2919W SWANN AVE 102
TAMPA, FL 33609-4049
Phone number: 813-870-3971
Mailing Address
-- CRYSTAL DANAE VAN DETTE ARNP
2919W SWANN AVE 102
TAMPA, FL 33609-4049
Phone number: 813-870-3971
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