Individual
TAMIKA BUNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 W COMMERCIAL BLVD # 209, TAMARAC, FL 33309-3328
(813) 812-2036
(888) 752-9230
Mailing address
37 HUTCHINSON ST NE UNIT 501, ATLANTA, GA 30307-4605
(404) 563-4982
(888) 752-9230
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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