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Individual

TANKASEH PATIENCE GAYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4616 PREWETT RD, FORT WORTH, TX 76137-1525
(682) 332-0937
Mailing address
4616 PREWETT RD, FORT WORTH, TX 76137-1525
(682) 332-0937

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
566221
NC

Other

Enumeration date
10/02/2023
Last updated
10/18/2023
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