Individual
TAWANDA TENIKA TILLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 JENKINS FARM RD, PINETOPS, NC 27864-7022
(252) 640-9194
Mailing address
910 JENKINS FARM RD, PINETOPS, NC 27864-7022
(252) 640-9194
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
05/24/2025
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