Individual
MISS AUBRIE LEIGH TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
7933 BAYMEADOWS WAY STE 5, JACKSONVILLE, FL 32256-7514
(904) 731-2162
Mailing address
7933 BAYMEADOWS WAY STE 5, JACKSONVILLE, FL 32256-7514
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH21985
FL
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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