MEDICARE: TANICHA MILORD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171R00000X	Interpreter	765802	CA

General Provider Information

NPI Number	:	1376359265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANICHA MILORD

Provider Business Mailing Address
First Line	:	229 S AZUSA AVE
Second Line	:
City	:	AZUSA
State	:	CA
Zip	:	91702-4554
Country	:	US
Telephone Number	:	786-356-3629
Fax Number	:

Provider Business Practice Location Address
First Line	:	4213 N LANDAR DR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-8908
Country	:	US
Telephone Number	:	786-356-3629
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2024
Last Update Date	:	12/05/2024

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Directions to “ TANICHA MILORD ” Practice Location

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