Individual
DEBRA TOMASELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 NW SAINT LUCIE WEST BLVD, PORT SAINT LUCIE, FL 34986-2140
(772) 340-4350
(772) 336-8963
Mailing address
1333 NW SAINT LUCIE WEST BLVD, PORT SAINT LUCIE, FL 34986-2140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS34050
FL
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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