Organization
KIDDY UP RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY FARRIS (EXECUTIVE DIRECTOR)
(727) 418-6219
Entity
Organization
Contact information
Practice address
10740 BRIAN LN, NEW PORT RICHEY, FL 34654-2630
(727) 418-6219
Mailing address
10740 BRIAN LN, NEW PORT RICHEY, FL 34654-2630
(727) 418-6219
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/11/2014
Last updated
11/11/2014
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