Tiara Shantae Dantley
NPI #1073099040 in Tallahassee, Florida
Provider Information
- NPI Number
- 1073099040
- Entity Type
- Individual
- Name
- Tiara Shantae Dantley
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Contractor
- Enumeration Date
- Jul 12, 2018
- Last Updated
- Jul 12, 2018
Practice Location
- Address
- 762 CALIFORNIA ST
- City
- Tallahassee
- State
- Florida
- ZIP Code
- 32304-2020
- Phone
- (850) 284-3531
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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