Individual
MRS. TYARA HANDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1400 W KING ST, QUINCY, FL 32351-1436
(850) 875-8752
Mailing address
278 LASALLE LEFALL DR, QUINCY, FL 32351-5324
(850) 875-7200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9394885
FL
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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