TAMARA GRIGALTCHIK

NORTH PORT, FL
NPI1265762017
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171000000X Military Health Care Provider
(Licence: FL  6906380)
Enumeration Date2009-12-29
Last Update Date2009-12-29
Business Address
Mrs. TAMARA GRIGALTCHIK
12105 MADRID AVE
NORTH PORT, FL 34287-1123
Phone number: 941-423-0019
Mailing Address
Mrs. TAMARA GRIGALTCHIK
12105 MADRID AVE
NORTH PORT, FL 34287-1123
Phone number: 941-423-0019