Individual
TANATIA NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4034 ROBBINS AVE APT B, PHILADELPHIA, PA 19135-3016
(267) 414-5882
Mailing address
4034 ROBBINS AVE, PHILADELPHIA, PA 19135-3016
(267) 414-5882
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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