Individual
TEQUORIA FLOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 BOWENS MILL RD SE APT E44, DOUGLAS, GA 31533-1311
(229) 325-8334
Mailing address
820 BOWENS MILL RD SE APT E44, DOUGLAS, GA 31533-1311
(229) 325-8334
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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