Individual
MRS. TAWANA EVET MAYBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDMS,RVT
Contact information
Practice address
4905 34TH ST S # 287, SAINT PETERSBURG, FL 33711-4511
(727) 201-8692
(727) 201-8692
Mailing address
2415 GRANADA CIR E, SAINT PETERSBURG, FL 33712-3917
(727) 201-8692
(727) 201-8692
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
118611
FL
2471V0105X
Vascular Sonography Radiologic Technologist
118611
FL
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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