Individual
TAWANDA OATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
444 LOS ALTOS WAY, APT 103, ALTAMONTE SPRINGS, FL 32714-3285
(703) 626-2469
Mailing address
444 LOS ALTOS WAY, APT 103, ALTAMONTE SPRINGS, FL 32714-3285
(703) 626-2469
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
FL
Other
Enumeration date
05/22/2009
Last updated
05/22/2009
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