Individual
BRYANT MUTANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3831 N MONROE ST, TALLAHASSEE, FL 32303-2173
(850) 536-0417
Mailing address
824 EAGLE VIEW DR, TALLAHASSEE, FL 32311-1204
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS64988
FL
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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