Individual
TIARA N BREWSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
408 W 5TH AVE, RAEFORD, NC 28376-2114
(216) 507-0310
Mailing address
408 W 5TH AVE, RAEFORD, NC 28376-2114
(216) 507-0310
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5248195
FL
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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