Individual
MS. TAMIKA GANZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2985 AVENUE G NW STE 4, WINTER HAVEN, FL 33880-2148
(863) 585-0919
Mailing address
4711 MANDOLIN LOOP, WINTER HAVEN, FL 33884-3624
(863) 585-0916
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
92777920
FL
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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