Individual
DEVAN FRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4407 SHADBERRY DR, TAMPA, FL 33624-5299
(813) 785-4622
Mailing address
4407 SHADBERRY DR, TAMPA, FL 33624-5299
(813) 785-4622
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9419659
FL
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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