Individual
MRS. TANESHA K DAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 PONDELLA DR, ENTERPRISE, AL 36330-4508
(334) 255-7894
(334) 255-7490
Mailing address
301 ANDREWS AVE, FORT RUCKER, AL 36362
(334) 255-7894
(334) 255-7490
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
GA
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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