TARA LOVETT DETTRA

SAINT AUGUSTINE, FL
NPI1790929438
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: FL  MW 227)
Enumeration Date2009-04-24
Last Update Date2009-04-24
Business Address
Mrs. TARA LOVETT DETTRA L.M., C.P.M.
1093 A1A BEACH BLVD PMB 285
SAINT AUGUSTINE, FL 32080-6733
Phone number: 904-540-7994
Mailing Address
Mrs. TARA LOVETT DETTRA L.M., C.P.M.
1093 A1A BEACH BLVD PMB 285
SAINT AUGUSTINE, FL 32080-6733
Phone number: 904-540-7994
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