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Organization
TANYA'S CHALET
Active
Organization
TANYA'S CHALET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA KUKRECHT (BUSINESS OWNER)
(941) 953-9808
Entity
Organization
Contact information
Practice address
2135 SIESTA DR, SARASOTA, FL 34239-5235
(941) 953-9808
(941) 364-5104
Mailing address
2135 SIESTA DR, SARASOTA, FL 34239-5235
(941) 953-9808
(941) 364-5104
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
07004943
FL
Other
Enumeration date
03/21/2008
Last updated
03/28/2008
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