Individual
CHRISTINA BRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
908 POINT WAY, LAKELAND, FL 33813-2822
(863) 430-9172
Mailing address
3903 COUNTRY LOOP W, LAKELAND, FL 33811-1319
(863) 430-9172
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5210185
FL
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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