Individual
TANYA LASHAWN ARNOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRANIAL PROSTHETIC
Contact information
Practice address
1223 KINGSWAY RD, BRANDON, FL 33510-2507
(813) 808-3762
Mailing address
5922 SHINGLE CREEK RD, LAKELAND, FL 33811-1997
(813) 808-3762
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
C0134100
GA
224P00000X
Prosthetist
Primary
C0134100
GA
Other
Enumeration date
10/30/2019
Last updated
04/06/2026
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