Individual
TASHANNA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SPRUCE ST, PHILADELPHIA, PA 19107-6130
(215) 928-3222
Mailing address
325 CHESTNUT ST STE 210, PHILADELPHIA, PA 19106-2602
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN658012
PA
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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