Individual
TANESHA S UNDERWOOD
Active
Individual
TANESHA S UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CCM, LMBT
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
233074
NC
171M00000X
Case Manager/Care Coordinator
4250206
NC
225700000X
Massage Therapist
Primary
18343
NC
Other
Enumeration date
06/13/2021
Last updated
06/13/2021
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