Individual
MISS RACEY LASHAY TARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
6217 SILVER STAR RD, ORLANDO, FL 32808-4229
(407) 298-0404
Mailing address
5036 LIMING AVE, ORLANDO, FL 32808-1658
(407) 493-8504
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT18137
FL
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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