Raven Patricia Michelle Prince, CCMA

NPI #1013875616 in Tallahassee, Florida

Provider Information

NPI Number: 1013875616
Entity Type: Individual
Name: Raven Patricia Michelle Prince, CCMA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: CCMA
Enumeration Date: Jan 12, 2026
Last Updated: Jan 12, 2026

Practice Location

Address: 2229 MANDRELL CT
City: Tallahassee
State: Florida
ZIP Code: 32303-2758
Phone: (352) 995-1562

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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