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Individual

TAMMY RENA WEEKS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
19611 SR 20 WEST, BLOUNTSTOWN, FL 32424
(850) 674-5645
(850) 674-5420
Mailing address
15390 NW FLOY B RACKLEY RD, ALTHA, FL 32421-3626

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1112881
FL

Other

Enumeration date
01/24/2006
Last updated
07/09/2007
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