TATYANA KORABLEVA

BRANDON, FL
NPI1912272113
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9106401)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: FL  PA9106401)
Enumeration Date2012-03-21
Last Update Date2014-08-26
Business Address
-- TATYANA KORABLEVA PA-C
1355 PROVIDENCE RD
BRANDON, FL 33511-4885
Phone number: 813-651-4441
Mailing Address
-- TATYANA KORABLEVA PA-C
PO BOX 1192
BRANDON, FL 33509-1192
Phone number: 813-651-4441