Individual
TANIA VANPELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
86317 MACAW RD, YULEE, FL 32097-3719
(904) 225-3635
(708) 294-1690
Mailing address
86317 MACAW RD, YULEE, FL 32097-3719
(904) 225-3635
(708) 294-1690
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA 245817
FL
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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