Individual
COURTNEY ROYAL SHARPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12413 RIVERGLEN DR, RIVERVIEW, FL 33569-8213
(865) 816-7360
Mailing address
12413 RIVERGLEN DR, RIVERVIEW, FL 33569-8213
(865) 816-7360
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12625
FL
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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