Individual
TISHEKA LAIDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8606 NW 36TH ST # 107, SUNRISE, FL 33351-6665
(163) 156-8914
Mailing address
5036 ESTONIAN DR, FAIRBURN, GA 30213-2157
(163) 156-8914
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
—
—
164W00000X
Licensed Practical Nurse
Primary
LPN105085
GA
Other
Enumeration date
03/17/2022
Last updated
07/14/2025
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