Individual
ANNMARIE BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPT, RPT
Contact information
Practice address
466 SW DAUPHIN AVE, PORT SAINT LUCIE, FL 34953-5852
(772) 336-0624
Mailing address
466 SW DAUPHIN AVE, PORT SAINT LUCIE, FL 34953-5852
(772) 336-0624
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT 12174
FL
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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