Individual
MRS. CHANTAL BANATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18803 DUQUESNE DR, TAMPA, FL 33647
(813) 978-8001
(813) 978-8009
Mailing address
18803 DUQUESNE DR, TAMPA, FL 33647
(813) 978-8001
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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