Individual
DEMETRIA D WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCMA
Contact information
Practice address
955 53RD ST E APT 333, BRADENTON, FL 34208-5894
(941) 799-0148
Mailing address
955 53RD ST E APT 333, BRADENTON, FL 34208-5894
(941) 799-0148
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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