Individual
MARGIE LYNN FRETWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4467 WATKINS ST APT G, PACE, FL 32571-2524
(850) 221-9921
Mailing address
4467 WATKINS ST APT G, PACE, FL 32571-2524
(850) 221-9921
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5164381
FL
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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