Individual
KAREN RUTH TICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20402 PEABODY ST, ORLANDO, FL 32833-4709
(931) 637-4069
Mailing address
20402 PEABODY ST, ORLANDO, FL 32833-4709
(931) 637-4069
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
9356669
FL
Other
Enumeration date
01/04/2020
Last updated
01/04/2020
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