Individual
TONYA SOPHIA CHANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3040 E COLLEGE AVE, RUSKIN, FL 33570-5220
(813) 331-3940
(813) 331-3941
Mailing address
1417 BUCKNER RD, VALRICO, FL 33596-7166
(813) 480-0933
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP4095
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871992545
NPI OF ORGANIZATION OF HIRE
FL
Enumeration date
09/23/2021
Last updated
10/01/2021
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