Individual
AMANI BRISTOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9128 PARK RICHEY BLVD, PORT RICHEY, FL 34668-8139
(727) 247-6738
Mailing address
9128 PARK RICHEY BLVD, PORT RICHEY, FL 34668-8139
(727) 247-6738
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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