Individual
TANYA WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 NW 82ND AVE APT 132, PLANTATION, FL 33324-1362
(347) 233-9873
Mailing address
601 NW 82ND AVE APT 132, PLANTATION, FL 33324-1362
(347) 233-9873
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9381265
FL
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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