Individual
KATHERINE AUGUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12124 STREAMBED DR, RIVERVIEW, FL 33579-9336
(813) 417-6969
Mailing address
12124 STREAMBED DR, RIVERVIEW, FL 33579-9336
(813) 417-6969
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9529685
FL
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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