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Individual

MS. RONNETTE LASHAWN ROYAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
510 9TH ST NE, RUSKIN, FL 33570-7620
(813) 645-8040
(813) 645-5728
Mailing address
510 9TH ST NE, RUSKIN, FL 33570-7620
(813) 645-8040
(813) 645-5736

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
230630
FL
376J00000X
Homemaker
Primary
230630
FL

Other

Enumeration date
08/05/2008
Last updated
08/05/2008
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