Individual
MS. TAGUNA MARTINEZ REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1049 62ND AVE N, ST PETERSBURG, FL 33702-7419
(727) 525-0700
(727) 525-0901
Mailing address
1004 25TH ST S, ST PETERSBURG, FL 33712-2173
(727) 687-8214
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
250100103031467
FL
Other
Enumeration date
03/26/2007
Last updated
09/08/2008
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