Individual
MRS. MARYANN RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4820 VENETIAN BLVD NE, ST PETERSBURG, FL 33703-4228
(727) 729-1990
Mailing address
4820 VENETIAN BLVD NE, ST PETERSBURG, FL 33703-4228
(727) 729-1990
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1269781
FL
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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