DA'TWAN LAURICE MATHIS

LAKELAND, FL
NPI1346973187
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  APRN11020672)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN11020672)
Enumeration Date2022-07-08
Last Update Date2024-03-29
Business Address
DA'TWAN LAURICE MATHIS APRN
517 BUENA VISTA ST
LAKELAND, FL 33805-4504
Phone number: 863-688-3674
Mailing Address
DA'TWAN LAURICE MATHIS APRN
517 BUENA VISTA ST
LAKELAND, FL 33805-4504
Phone number: 863-688-3674