Individual
RENEE HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
439 SW MICHIGAN ST, LAKE CITY, FL 32025-0440
(800) 330-5615
Mailing address
439 SW MICHIGAN ST, LAKE CITY, FL 32025-0440
(800) 330-5615
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9384165
FL
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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