Individual
DENISE A TIEKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3604 LAKE BAYSHORE DR UNIT K223, BRADENTON, FL 34205-5141
(347) 483-3475
Mailing address
3604 LAKE BAYSHORE DR UNIT K223, BRADENTON, FL 34205-5141
(347) 483-3475
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
T20161605880
FL
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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