Individual
TERA DIONNE TOMPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4996 CORRADO AVE, AVE MARIA, FL 34142-4666
(954) 815-0060
Mailing address
4996 CORRADO AVE, AVE MARIA, FL 34142-4666
(954) 815-0060
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN9303299
FL
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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