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Individual

MRS. TAWANDA LATASHA MCKOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNAII

Contact information

Practice address
3011 TOWN CENTER DRIVE, STE 130 UNIT #172, FAYETTEVILLE, NC 28306-0049
(833) 454-7770
(833) 454-7770
Mailing address
3011 TOWN CENTER DRIVE, STE 130 UNIT #172, FAYETTEVILLE, NC 28306-0049
(833) 454-7770
(833) 454-7770

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
108946
NC
376K00000X
Nurse's Aide
Primary
6952
NC

Other

Enumeration date
04/23/2024
Last updated
04/23/2024
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