Individual
TEKOA POUERIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8506 CYPRESS HOLLOW CT, SANFORD, FL 32771-8119
(407) 529-7894
Mailing address
8506 CYPRESS HOLLOW CT, SANFORD, FL 32771-8119
(407) 529-7894
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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