Individual
CLARISSA MARAVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
500 EAGLES LANDING DR, LAKELAND, FL 33810-2899
(888) 479-2000
Mailing address
1234 CANYON OAKS DR, BRANDON, FL 33510-2173
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS58221
FL
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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