Individual
MRS. TINA CAROL BOYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1176 MILL CREEK RD, BRADENTON, FL 34212-9154
(941) 737-6755
Mailing address
1176 MILL CREEK RD, BRADENTON, FL 34212-9154
(941) 737-6755
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5154935
FL
376K00000X
Nurse's Aide
PN5154935
FL
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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