Individual
TERASHI BRUNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
641 W WEATHERBEE RD, FORT PIERCE, FL 34982-6957
(772) 203-8356
Mailing address
641 W WEATHERBEE RD, FORT PIERCE, FL 34982-6957
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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