TATYANA YGNACIA CARLSON

MOODY AFB, GA
NPI1700560471
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2023-06-13
Last Update Date2023-12-13
Business Address
TATYANA YGNACIA CARLSON IDMT
710 VANGUARD WAY
MOODY AFB, GA 31699-8704
Phone number: 229-257-2778
Mailing Address
TATYANA YGNACIA CARLSON IDMT
3280 MITCHELL BLVD
MOODY AFB, GA 31699-1500
Phone number: 229-257-2778
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