Individual
MS. HEATHER HYACINTH BURRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1821 DORA AVE APT 144, TAVARES, FL 32778-5765
(352) 508-5368
(352) 508-5368
Mailing address
1821 DORA AVE APT 144, TAVARES, FL 32778-5765
(352) 508-5368
(352) 508-5368
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
PN5158591
FL
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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