Individual
LAURA DEBRA VANDER KELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
215 LITHIA PINECREST RD, BRANDON, FL 33511-5307
(813) 685-8404
Mailing address
6931 ANDERSON ST, NEW PORT RICHEY, FL 34653-2502
(727) 485-3363
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW335
FL
Other
Enumeration date
08/10/2016
Last updated
05/14/2019
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