Individual
MRS. ANITA TAH TASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1314 LAKE ST STE 101, FORT WORTH, TX 76102-4582
(817) 810-0660
(817) 810-0660
Mailing address
2923 FOREST HOLLOW LN APT 1916, ARLINGTON, TX 76006-3069
(210) 803-4199
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
877256
TX
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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