Individual
TOKIOTTA TRANISCA TACKNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 FREDERICK DR, THIBODAUX, LA 70301-6033
(985) 804-0399
Mailing address
723 POINT ST, HOUMA, LA 70360-4744
(985) 303-6102
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
LA
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011124198
—
LA
Enumeration date
01/13/2020
Last updated
02/15/2024
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