Individual
MRS. DEIDRA L BESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4362 NW STATE ROAD 270, BRISTOL, FL 32321-2310
(850) 274-0949
(850) 663-7673
Mailing address
4362 NW STATE ROAD 270, BRISTOL, FL 32321-2310
(850) 274-0949
(850) 663-7673
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
Other
Enumeration date
10/17/2017
Last updated
10/19/2017
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