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Individual

TAMARA LYNNE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1015 N COMBEE RD, LAKELAND, FL 33801-2913
(912) 245-4906
Mailing address
1475 WOODLAKE DR APT 222, LAKELAND, FL 33803-7140
(912) 425-4906

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
410668
FL

Other

Enumeration date
12/21/2021
Last updated
12/21/2021
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