Individual
MRS. TONYA MARIE BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OWNER
Contact information
Practice address
2322 ARNOLD PALMER BLVD, LOUISVILLE, KY 40245-5272
(502) 773-8783
(502) 412-1405
Mailing address
2322 ARNOLD PALMER BLVD, LOUISVILLE, KY 40245-5272
(502) 773-8783
(502) 412-1405
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
J95602020
KY
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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