Individual
MR. JAMIE SHAUN CHRISTOPHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
3311 W KENNEDY BLVD, TAMPA, FL 33609-2903
(813) 871-3839
Mailing address
7110 HALIFAX CT, TAMPA, FL 33615-2944
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5181966
FL
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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