Individual
MS. TANYA RENE SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3595 CARDINAL POINT DR, JACKSONVILLE, FL 32257-5500
(904) 737-2040
Mailing address
3595 CARDINAL POINT DR, JACKSONVILLE, FL 32257-5500
(904) 737-2040
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH20661
FL
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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