Individual
TAMARA LE BLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
7595 SW 33RD ST, DAVIE, FL 33314-7708
(954) 262-6387
Mailing address
PO BOX 290370, DAVIE, FL 33329-0370
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RT11616
LICENSE
FL
Enumeration date
09/28/2022
Last updated
09/28/2022
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