Organization
EARLY STAGES FOR EARLY AGES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENNAY ANN TONJA ROSE B.A. (DIRECTOR)
(954) 849-1117
Entity
Organization
Contact information
Practice address
203 SW 85TH TERR. APT. 306, HOLLYWOOD, FL 33025
(954) 849-1117
Mailing address
203 SW 85TH TERR. APT. 306, HOLLYWOOD, FL 33025
(954) 849-1117
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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