Individual
MRS. TANGANIKA PAUL MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
205 THOMAS BLVD, WARNER ROBINS, GA 31093-3235
(855) 203-5085
Mailing address
133 HIDDEN CREEK CIR, WARNER ROBINS, GA 31088-5267
(478) 867-9143
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
22-1768
GA
253Z00000X
In Home Supportive Care Agency
Primary
CN0028910673
GA
Other
Enumeration date
07/24/2023
Last updated
01/22/2024
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