Individual
TAMEKA ALNESA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
715 N LAKE AVE, LAKELAND, FL 33801
(863) 519-0575
Mailing address
PO BOX 1559, BARTOW, FL 33831-1559
(863) 519-0575
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5224058
FL
Other
Enumeration date
06/06/2011
Last updated
06/07/2018
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