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MS. TATIYANA ANISIMOVA

Attendant Care Provider >> Technician >> Nursing Service Related Providers

Registrant NPI Number: 1770118259

Individual Registrant:
MS. TATIYANA  ANISIMOVA 
Gender: F
Sole Proprietor

Location and contact information for practice:
2605 CASA DR  NEW PORT RICHEY, FL 34655-2235 US
Tel: 304-550-8040  Fax: --

Contact information for business:
7840 PUTNAM CIR  NEW PORT RICHEY, FL 34655-2739 US
Tel: 813-598-5058  Fax: --

Registration Information:
NPI: 1770118259
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3747A0650XNursing Service Related Providers
Technician
Attendant Care Provider
FL

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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