Individual
KORTNIE ANTIOHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
606 SPRING LAKES BLVD, BRADENTON, FL 34210-4556
(708) 537-1378
Mailing address
606 SPRING LAKES BLVD, BRADENTON, FL 34210-4556
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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