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1134502578
TATAYANA MALTSEVA
HOLLYWOOD, FL
NPI
1134502578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL APRN3027352)
Enumeration Date
2015-07-02
Last Update Date
2019-08-29
Business Address
TATAYANA MALTSEVA APRN, PMHNP-BC
1957 JACKSON ST
HOLLYWOOD, FL 33020-5021
Phone number: 954-921-2600
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Mailing Address
TATAYANA MALTSEVA APRN, PMHNP-BC
4740 N STATE ROAD 7
LAUDERDALE LAKES, FL 33319-5839
Phone number: 954-486-4005
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