Individual
ASHLEY TARRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2535 LONE STAR DR, DALLAS, TX 75212-6313
(214) 415-8985
Mailing address
100 OLD GLORY LN, FORNEY, TX 75126-4761
(214) 415-8985
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
210089
TX
Other
Enumeration date
03/23/2014
Last updated
03/23/2014
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