NPI 1023661196

Jazzy-Mae Nieto

Practitioner Independent Duty Medical Technicians Tampa, FL

Practice location

Address: 3250 Zemke Ave, Tampa, FL 33621-5023
Phone: (813) 827-9870
Mailing address: 6401 S West Shore Blvd APT 1403, Tampa, FL 33616-1395

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

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Registry record

NPI: 1023661196
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2019
Record last updated: 18 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.