Individual
TONYA GERMANY MCMILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
278 DR. LASALLE LAFFALLE DRIVE, QUINCY, FL 32351-1000
(850) 539-2888
(850) 539-2766
Mailing address
278 DR. LASALLE LAFFALLE DRIVE, QUINCY, FL 32351
(850) 539-2888
(850) 539-2766
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5168561
FL
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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