Individual
SORAYA TAYAR LICURGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15024 CHAPTER WAY, WINTER GARDEN, FL 34787-1764
(901) 389-0967
Mailing address
15024 CHAPTER WAY, WINTER GARDEN, FL 34787-1764
(901) 389-0967
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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