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Individual
MRS. TAMARA ZIMMERMAN LASANTA
Active
Individual
MRS. TAMARA ZIMMERMAN LASANTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
RN9203457
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9203457
FL
Other
Enumeration date
10/28/2009
Last updated
06/18/2012
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