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Individual

TABITHA FAITH CLAYTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, CNM

Contact information

Practice address
83 W MILLER ST, ORLANDO, FL 32806-2031
(321) 841-5281
(407) 648-9879
Mailing address
83 W MILLER ST, ORLANDO, FL 32806-2031
(321) 841-5281
(407) 648-9879

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
9377992
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102620100
FL
Enumeration date
08/03/2018
Last updated
10/08/2019
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