MS. Tammy Lee Derito, LPN

NPI #1194938084 in Gainesville, Florida

Provider Information

NPI Number
1194938084
Entity Type
Individual
Name
MS. Tammy Lee Derito, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
May 7, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1601 SW ARCHER RD
State
Florida
ZIP Code
32608-1135
Phone
(352) 374-6047

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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