TAVIS A FREEMAN

BRADENTON, FL
NPI1356000533
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  5153636)
Enumeration Date2021-12-15
Last Update Date2021-12-15
Business Address
TAVIS A FREEMAN LPN
5520 19TH ST W
BRADENTON, FL 34207-3201
Phone number: 941-212-8821
Mailing Address
TAVIS A FREEMAN LPN
5520 19TH ST W
BRADENTON, FL 34207-3201
Phone number: 941-212-8821
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