Individual
TRINA JAMES-TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 E POND ST STE 5A, CENTURY, FL 32535-2859
(850) 366-4067
Mailing address
150 E POND ST STE 5A, CENTURY, FL 32535-2859
(850) 366-4067
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
A338510
DC
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
873767982
—
FL
Enumeration date
03/21/2022
Last updated
03/05/2024
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