Tanisha La'shay Suber LPN

NPI 1063741072 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1063741072
Gender Female
Enumeration Date 12/22/2009
Last Updated 12/22/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
143 CHESTNUT CROSSING DR APT H
NEWARK DE, 19713-3622, US
Phone (215) 910-8361
Fax
Business Location
143 CHESTNUT CROSSING DR APT H
NEWARK DE, 19713-3622, US
Phone (215) 910-8361
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Delaware
License Number L2-0010742
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According to our database, Miss Tanisha La'shay Suber LPN NPI is 1063741072, taxonomy code is 164W00000X and license number is L2-0010742, license state is located at Delaware. Tanisha La'shay Suber LPN physically located at 143 Chestnut Crossing Dr Apt H, Newark DE, 19713-3622. NPI Number Tanisha La'shay Suber LPN has the Individual type.

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1063741072 NPI number is provided on an as is basis without warranty of any kind. 1063741072 is maintained by the National Plan & Provider Enumeration System. The contents of Tanisha La'shay Suber LPN are for informational purposes only.