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Individual

CAROLYN TANN-STARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
230 E MONUMENT AVE STE A4, KISSIMMEE, FL 34741-5731
(321) 614-5657
(321) 473-8318
Mailing address
440 MERCER ST NW, TANNQIGONG INSTITUTE INC., PALM BAY, FL 32907-2933
(321) 614-5657
(321) 473-8318

Taxonomy

Speciality
Code
Description
License number
State
246ZI1000X
Medical Illustrator
372600000X
Adult Companion
374U00000X
Home Health Aide
376K00000X
Nurse's Aide
Primary
CNA329819
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/30/2015
Last updated
09/30/2019
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