EVERT LORY LEESON

TAMPA, FL
NPI1891266029
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
(Licence:   NA)
Enumeration Date2018-12-16
Last Update Date2018-12-16
Business Address
EVERT LORY LEESON
7020 N WILLOW AVE
TAMPA, FL 33604-4753
Phone number: 813-935-6111
Mailing Address
EVERT LORY LEESON
7020 N WILLOW AVE
TAMPA, FL 33604-4753
Phone number: 813-935-6111
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