Individual
TASHA DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3215 S HWY 1 SUITE F, FORT PIERCE, FL 34982
(954) 618-7366
Mailing address
2578 SW MARSHFIELD CT, PORT SAINT LUCIE, FL 34953-4369
(954) 618-7366
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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