Individual
TANYA SEELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
662 TARR AVE SW, PALM BAY, FL 32908-7495
(315) 466-1111
Mailing address
662 TARR AVE SW, PALM BAY, FL 32908-7495
(315) 466-1111
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
277894
NY
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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