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Individual

ANGEL CATHERINE RAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
805 100TH AVE N, SAINT PETERSBURG, FL 33702-2205
(716) 474-4846
Mailing address
805 100TH AVE N, SAINT PETERSBURG, FL 33702-2205
(716) 474-4846

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9433476
FL
363L00000X
Nurse Practitioner
Primary
APRN11013576
FL

Other

Enumeration date
05/31/2021
Last updated
06/10/2021
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