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Individual

DANIELLE TASHAKORI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
719 EAST BLVD, CHARLOTTE, NC 28203-5113
(704) 376-9849
(704) 323-6023
Mailing address
719 EAST BLVD, CHARLOTTE, NC 28203-5113
(704) 376-9849
(704) 323-6023

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001005115
NC
363AM0700X
Medical Physician Assistant

Other

Enumeration date
09/11/2012
Last updated
04/18/2024
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