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Individual
TATANISHA LAVERNE DIXON
Active
Individual
TATANISHA LAVERNE DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, LMT, HNB-BC
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN9514719
FL
163WD0400X
Diabetes Educator Registered Nurse
RN9514719
FL
163WM1400X
Nurse Massage Therapist (NMT)
Primary
MA106366
FL
225700000X
Massage Therapist
MA106366
FL
225700000X
Massage Therapist
MT.0026745
CO
Other
Enumeration date
05/31/2025
Last updated
05/31/2025
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