Individual
TAMIKA MCCLENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15800 PINES BLVD STE 3054, PEMBROKE PINES, FL 33027-1212
(786) 326-5899
Mailing address
8409 BOTTOM WOODS CIR APT 301, TAMPA, FL 33637-5078
(786) 326-5899
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
238511
FL
174200000X
Meals Provider
238511
FL
253Z00000X
In Home Supportive Care Agency
Primary
238511
FL
332U00000X
Home Delivered Meals
238511
FL
342000000X
Transportation Network Company
238511
FL
372600000X
Adult Companion
238511
FL
376J00000X
Homemaker
238511
FL
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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