THEAVA ISMARELLA PRESTON

LAKELAND, FL
NPI1568001774
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  11004333)
Enumeration Date2020-01-06
Last Update Date2023-09-29
Business Address
THEAVA ISMARELLA PRESTON APRN
5010 S FLORIDA AVE
LAKELAND, FL 33813-2510
Phone number: 866-389-2727
Mailing Address
THEAVA ISMARELLA PRESTON APRN
5010 S FLORIDA AVE
LAKELAND, FL 33813-2510
Phone number: 866-389-2727