Individual
TANIYHA WOODBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 WATER OAK WAY S, BRADENTON, FL 34209-7832
(734) 358-3859
Mailing address
5580 FOUNTAIN LAKE CIR APT 223, BRADENTON, FL 34207-3739
(813) 582-6477
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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