Individual
CRYSTAL LATRICE ROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 W WINDHORST RD, BRANDON, FL 33510
(813) 373-9531
Mailing address
5707 N 22ND ST, TAMPA, FL 33610-4350
(813) 239-8533
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP9320459
FL
Other
Enumeration date
06/08/2017
Last updated
08/13/2018
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