Individual
ETHEL M BROCKINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13027 TRIBUTE DR, RIVERVIEW, FL 33578-7574
(813) 426-6730
Mailing address
PO BOX 1755, RIVERVIEW, FL 33568-1755
(813) 426-6730
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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