Individual
ANITRA HALL-JETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8942 FOREST LAKE DR, PORT RICHEY, FL 34668-5823
(727) 288-8691
Mailing address
8942 FOREST LAKE DR, PORT RICHEY, FL 34668-5823
(727) 288-8691
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5177337
FL
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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