Individual
TINA ALISA ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
193 SW HUTTO POND TRL, MADISON, FL 32340-4349
(850) 464-4782
Mailing address
193 SW HUTTO POND TRL, MADISON, FL 32340-4349
(850) 464-4782
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/20/2016
Last updated
02/24/2016
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