Individual
JOVAN ANDREA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 E CAROLINA AVE, DELAND, FL 32724-5779
(407) 576-3039
Mailing address
1414 E CAROLINA AVE, DELAND, FL 32724-5779
(407) 576-3039
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
640302200034
FL
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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