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Individual

CRESHA RENE JAUREQUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(813) 745-4673
Mailing address
11040 FORT KING RD, DADE CITY, FL 33525-8554
(813) 928-1171

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11017672
FL

Other

Enumeration date
06/14/2022
Last updated
08/04/2022
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