TANYISKA FONDA

DOTHAN, AL
NPI1528415478
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AL  1-104056)
Enumeration Date2016-05-20
Last Update Date2017-05-09
Business Address
-- TANYISKA FONDA NP-C
4370 W MAIN ST
DOTHAN, AL 36305-1056
Phone number: 334-794-5000
Mailing Address
-- TANYISKA FONDA NP-C
4370 W MAIN ST
DOTHAN, AL 36305-1056
Phone number: 334-794-5000
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