Individual
TINA NICOLE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
278 DR. LASALLE LEFFALL DRIVE, QUINCY, FL 32353
(850) 875-7200
(850) 875-7210
Mailing address
278 DR. LASALLE LEFFALL DRIVE, QUINCY, FL 32353
(850) 875-7200
(850) 875-7210
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9169219
FL
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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