Individual
KIZ TOSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
419 PEORIA BLVD, CRESTVIEW, FL 32536-2248
(810) 513-3942
Mailing address
419 PEORIA BLVD, CRESTVIEW, FL 32536-2248
(810) 513-3942
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
APRN11000543
FL
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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