Individual
TANEISHA ALFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1059 BROOKLET DR, DAVENPORT, FL 33837-8658
(689) 242-8567
Mailing address
1059 BROOKLET DR, DAVENPORT, FL 33837-8658
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9548515
FL
163WW0000X
Wound Care Registered Nurse
9548515
FL
246RP1900X
Phlebotomy Technician
9548515
FL
251F00000X
Home Infusion Agency
9548515
FL
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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