Individual
TANIA MANREZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4532 W KNOLLWOOD ST, TAMPA, FL 33614-3636
(813) 298-5692
Mailing address
4532 W KNOLLWOOD ST, TAMPA, FL 33614-3636
(813) 298-5692
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
137798
FL
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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