Tajshma Tagayla Peterson
NPI #1508529488 in Crystal River, Florida
Provider Information
- NPI Number
- 1508529488
- Entity Type
- Individual
- Name
- Tajshma Tagayla Peterson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Oct 18, 2021
- Last Updated
- Oct 18, 2021
Practice Location
- Address
- 315 NE 10TH AVE
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34429-4456
- Phone
- (352) 795-7006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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