Individual
MYRA PINCKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7615 75TH ST N, PINELLAS PARK, FL 33781-2812
(727) 541-5848
Mailing address
7615 75TH ST N, PINELLAS PARK, FL 33781-2812
(727) 541-5848
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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