Individual
JOSHALYN TOLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
926 19TH AVE N, TEXAS CITY, TX 77590-5612
(409) 739-7364
Mailing address
926 19TH AVE N, TEXAS CITY, TX 77590-5612
(409) 739-7364
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
01153
TX
374U00000X
Home Health Aide
8115845
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D12784327
—
TX
Enumeration date
04/10/2014
Last updated
04/18/2014
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