Individual
MRS. LANY TABITA ROMULUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
5991 NW BAYNARD DR, PORT SAINT LUCIE, FL 34986-3604
(772) 200-1920
Mailing address
5991 NW BAYNARD DR, PORT SAINT LUCIE, FL 34986-3604
(772) 200-1920
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN9532921
FL
Other
Enumeration date
06/14/2020
Last updated
06/14/2020
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