SISA K JOSE

RIVERVIEW, FL
NPI1407368129
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  9230604)
Enumeration Date2017-11-03
Last Update Date2017-12-21
Business Address
SISA K JOSE
3140 S FALKENBURG RD
RIVERVIEW, FL 33578-2574
Phone number: 813-910-0300
Mailing Address
SISA K JOSE
12662 TELECOM DR
TEMPLE TERRACE, FL 33637-0935
Phone number: 813-910-8708
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