Individual
TAMBRA LATRICE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 HWY 178 EAST HOLLYSPRINGS, HOLLYSPRINGS, MS 38635-2523
(662) 274-3211
Mailing address
515 HWY 178 EAST HOLLYSPRINGS, HOLLYSPRINGS, MS 38635-2523
(662) 274-3211
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/11/2019
Last updated
08/08/2019
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