Individual
LAURA YARINA TAVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
145 BAYSHORE CT, PUNTA GORDA, FL 33950-5025
(813) 506-2759
Mailing address
145 BAYSHORE CT, PUNTA GORDA, FL 33950-5025
(813) 506-2759
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
328953
FL
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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