GODLIVE DESRAVINES

TAMPA, FL
NPI1750072518
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  11023834)
Enumeration Date2023-05-15
Last Update Date2023-08-03
Business Address
GODLIVE DESRAVINES
4620 N 22ND ST
TAMPA, FL 33610-6205
Phone number: 813-397-5300
Mailing Address
GODLIVE DESRAVINES
PO BOX 82969
TAMPA, FL 33682-2969
Phone number: 813-866-0930
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