Individual
TATYANA DIRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12519 EAGLES CLAW LN, JACKSONVILLE, FL 32225-5287
(904) 343-6484
Mailing address
12519 EAGLES CLAW LN, JACKSONVILLE, FL 32225-5287
(904) 343-6484
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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