Individual
GLORIA TAVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5224 NET DR APT 224, TAMPA, FL 33634-5189
(787) 398-1859
Mailing address
5224 NET DR APT 224, TAMPA, FL 33634-5189
(787) 398-1859
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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