Therence Tamiko Marshall SR.

NPI 1073837456 - Community Health Worker - 172V00000X

NPI Details
NPI 1073837456
Gender Female
Enumeration Date 03/15/2010
Last Updated 03/15/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2100 COLLEGE DR
UNIT#97
BATON ROUGE LA, 70808-1861, US
Phone (225) 636-7178
Fax (225) 647-2200
Business Location
2100 COLLEGE DR
UNIT#97
BATON ROUGE LA, 70808-1861, US
Phone (225) 636-7178
Fax (225) 647-2200
Toxanomy
Taxonomy Code 172V00000X
License State Louisiana
License Number 07220572
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According to our database, Miss Therence Tamiko Marshall SR. NPI is 1073837456, taxonomy code is 172V00000X and license number is 07220572, license state is located at Louisiana. Therence Tamiko Marshall SR. physically located at 2100 College Dr, Baton Rouge LA, 70808-1861. NPI Number Therence Tamiko Marshall SR. has the Individual type.

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1073837456 NPI number is provided on an as is basis without warranty of any kind. 1073837456 is maintained by the National Plan & Provider Enumeration System. The contents of Therence Tamiko Marshall SR. are for informational purposes only.