FLORENTINA TASE

ROCKFORD, IL
NPI1427595156
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209-015406)
Enumeration Date2017-01-19
Last Update Date2021-03-02
Business Address
FLORENTINA TASE APN
3775 N MULFORD RD
ROCKFORD, IL 61114-5632
Phone number: 779-696-9202
Mailing Address
FLORENTINA TASE APN
PO BOX 78866
MILWAUKEE, WI 53278-8866
Phone number: 779-696-7150
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