Individual
CALLIE MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1254 KAYAK CV, LUTZ, FL 33559-6744
(813) 279-0266
Mailing address
1254 KAYAK CV, LUTZ, FL 33559-6744
(813) 279-0266
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5220219
FL
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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