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Individual

MS. TANISHA HOLMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4601 FLAT ROCK RD UNIT 24, PHILADELPHIA, PA 19127-2055
(267) 325-1567
Mailing address
4601 FLAT ROCK RD UNIT 24, PHILADELPHIA, PA 19127-2055
(267) 325-1567

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
67073601
PA
376J00000X
Homemaker
67073601
PA
385H00000X
Respite Care
67073601
PA

Other

Enumeration date
08/22/2022
Last updated
08/22/2022
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