Individual
TONYA L PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7041 34TH AVE E, PALMETTO, FL 34221-7391
(941) 417-9848
Mailing address
7041 34TH AVE E, PALMETTO, FL 34221-7391
(941) 417-9848
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014369000
—
FL
Enumeration date
02/14/2016
Last updated
02/14/2016
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