Individual
TAMARA ROCHELLE CRIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23335 SW 127TH AVE, HOMESTEAD, FL 33032-2600
(786) 752-2652
Mailing address
10972 SW 182ND LN, MIAMI, FL 33157-9017
(786) 752-2652
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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