Individual
QENA SHENITA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
149 RANCH RD, QUINCY, FL 32351-5267
(850) 519-1746
Mailing address
149 RANCH RD, QUINCY, FL 32351-5267
(850) 519-1746
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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