Individual
KATHRYN ROSE EICHENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6203 INTERBAY AVE, TAMPA, FL 33611-4906
(941) 809-8022
Mailing address
6203 INTERBAY AVE, TAMPA, FL 33611-4906
(941) 809-8022
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9371988
FL
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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