Individual
TYESE TANKSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1336 CAROLINA DR, ROCKINGHAM, NC 28379-3129
(919) 798-3159
Mailing address
1336 CAROLINA DR, ROCKINGHAM, NC 28379-3129
(919) 798-3159
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
03/20/2021
Last updated
03/20/2021
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