Individual
TANEKA SHANDA COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8304 TEMPLE RD, PHILADELPHIA, PA 19150-2015
(267) 357-4130
Mailing address
8304 TEMPLE RD, PHILADELPHIA, PA 19150-2015
(267) 357-4130
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
9405834
PA
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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