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TALISA ESTEVES BA
>> Contractor >> Other Service ProvidersRegistrant NPI Number: 1982192993
Individual Registrant: TALISA ESTEVES BA
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
220 N MAIN ST FITZGERALD, GA 31750-2520 US
Tel: 229-345-4207 Fax: --
Tel: 229-345-4207 Fax: --
Contact information for business:
220 N MAIN ST FITZGERALD, GA 31750-2520 US
Tel: 229-345-4207 Fax: --
Tel: 229-345-4207 Fax: --
Registration Information:
NPI: 1982192993
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171W00000X | Other Service Providers Contractor |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
