Individual
CANDRA TARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7595 BAYMEADOWS CIR W APT 1316, JACKSONVILLE, FL 32256-1857
(904) 562-9592
Mailing address
7595 BAYMEADOWS CIR W APT 1316, JACKSONVILLE, FL 32256-1857
(904) 562-9592
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12171
FL
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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