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Mr. Tammie Latisha Bolton
Community Based Hospice Care Agency in Bradenton, Florida
NPI 1619299351

Tammie Latisha Bolton is a Community Based Hospice Care Agency based in Bradenton, FL. Tammie Latisha Bolton practices in Bradenton, FL. The NPI Number for Tammie Latisha Bolton is 1619299351 and holds a License No. 231506 (Florida).

The current practice location address for Tammie Latisha Bolton is 6642 68Th St E, Bradenton, FL and can be reached out via phone at 941-896-0611 and via fax at 941-567-0452.

Location: 6642 68Th St E, Bradenton, FL, 34203-9765
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619299351
Provider Name
Tammie Latisha Bolton
Credential
Provider Entity Type
Individual
Gender
Female
Address
6642 68Th St E, Bradenton, FL, 34203-9765
Phone Number
941-896-0611
Fax Number
941-567-0452
Provider Enumeration Date
02/22/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6642 68Th St E
City
Bradenton
State
Florida
Zip
34203-9765
Phone Number
941-896-0611
Fax Number
941-567-0452
person
Provider Business Mailing Address Details
Address
6642 68Th St E
City
Bradenton
State
Florida
Zip
34203-9765
Phone Number
941-896-0611
Fax Number
941-567-0452
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
251G00000X
License No.
231506 (Florida)
Definition
Definition to come...
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