Individual
TANISHA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHES
Contact information
Practice address
1295 W FAIRFIELD DR, PENSACOLA, FL 32501-1107
(850) 384-4617
Mailing address
5120 ENGLISH OAK DR, PACE, FL 32571-6281
(850) 304-4636
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
FL
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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