Individual
MRS. TANESHA AKITA STUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6114 OLIVEDALE DR, RIVERVIEW, FL 33578-3819
(813) 526-3315
Mailing address
6114 OLIVEDALE DR, RIVERVIEW, FL 33578-3819
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
2771564
FL
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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