Individual
DONIECE ALYCE TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
521 NE 1ST ST, GAINESVILLE, FL 32601-5709
(352) 377-3879
Mailing address
521 NE 1ST ST, GAINESVILLE, FL 32601-5709
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW417
FL
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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