Individual
TANISHA LEE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
761 N WEST ST, WICHITA, KS 67203-1240
(316) 312-1724
(316) 453-6393
Mailing address
761 N WEST ST, WICHITA, KS 67203-1240
(316) 312-1724
(316) 453-6393
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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