Individual
MS. TERESA RENE' PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1201 1ST ST S, WINTER HAVEN, FL 33880-3904
(863) 297-1702
(863) 291-6753
Mailing address
200 AVENUE F NE, WINTER HAVEN, FL 33881-4131
(863) 297-1702
(863) 291-6753
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5184285
FL
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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