Individual
TMBUR BANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4019 NW 17TH ST, BELLE GLADE, FL 33430-5928
(561) 755-2991
Mailing address
4019 NW 17TH ST, BELLE GLADE, FL 33430-5928
(561) 755-2991
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
406126
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7867879196
—
FL
Enumeration date
06/03/2022
Last updated
06/03/2022
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