Individual
TANEASHA M ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6031 APPLECREST CT APT 16, BOARDMAN, OH 44512-3173
(330) 559-0175
Mailing address
6031 APPLECREST CT APT 16, BOARDMAN, OH 44512-3173
(330) 559-0175
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401937680217
OH
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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