Individual
MRS. TONI LAVON ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12920 PARKINGTON DR, GIBSONTON, FL 33534-3914
(813) 234-9566
Mailing address
12920 PARKINGTON DR, GIBSONTON, FL 33534-3914
(813) 234-9566
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5149992
FL
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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