Individual
TALIYAH BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1962 HIGHWAY 73, MARIANNA, FL 32448-5048
(850) 257-1314
Mailing address
1962 HIGHWAY 73, MARIANNA, FL 32448-5048
(850) 257-1314
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
87-0999853
FL
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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