Individual
TWYLA JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
608 BLUE POINT DR, RUSKIN, FL 33570-7642
(813) 213-8757
Mailing address
608 BLUE POINT DR, RUSKIN, FL 33570-7642
(813) 213-8757
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5179925
FL
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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