Individual
TIFFANY WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2330 7TH AVE E, PALMETTO, FL 34221-2730
(941) 565-4171
Mailing address
2330 7TH AVE E, PALMETTO, FL 34221-2730
(941) 565-4171
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
FL
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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