Individual
TANYA GARLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 STATE ST, CHARLOTTE, NC 28208-4248
(704) 258-9743
Mailing address
515 STATE ST, CHARLOTTE, NC 28208-4248
(704) 258-9743
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
401025
NC
3747P1801X
Personal Care Attendant
—
—
376K00000X
Nurse's Aide
401025
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043526783
—
NC
Enumeration date
08/19/2010
Last updated
08/19/2010
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