Individual
TAWANTA TRINELL STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 CANAAN LOOP, DUNDEE, FL 33838-4278
(863) 877-6691
Mailing address
1725 CANAAN LOOP, DUNDEE, FL 33838-4278
(863) 877-6691
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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