Wallace, Zandra Wynette

Wallace, Zandra Wynette is an sole proprietor health care provider with primary practice located at 20316 Natures Corner Dr , Tampa FL 33647-3580. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Wallace, Zandra Wynette can be contacted via phone (813) 575-8108.

Contact Information

Primary practice address
20316 Natures Corner Dr Tampa FL 33647-3580
Phone: (813) 575-8108
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X Florida

Profile Details

NPI number 1053063412
LBN Legal business name Wallace, Zandra Wynette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2022
Last updated Jan 26th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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