KESSARIN GUSTAFSON

LAKELAND, FL
NPI1407203821
Former NameKESSARIN CHAISAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  9331620)
Enumeration Date2016-05-16
Last Update Date2022-07-17
Business Address
KESSARIN GUSTAFSON ARNP
2815 LAKELAND HILLS BLVD
LAKELAND, FL 33805-2224
Phone number: 862-284-5000
Mailing Address
KESSARIN GUSTAFSON ARNP
1324 LAKELAND HILLS BLVD ATTN: MANAGED CARE DEPT.
LAKELAND, FL 33805-4543
Phone number: