Individual
MRS. THERESA ANN FRETWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5527 STEWART ST, MILTON, FL 32570-4303
(850) 983-5200
(850) 983-5215
Mailing address
5527 STEWART ST, MILTON, FL 32570-4303
(850) 983-5200
(850) 983-5215
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5146344
FL
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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