Individual
MS. ALISHA TANAE COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
948 COUNTY ROAD 1118, MAUD, TX 75567-2704
(903) 277-4663
Mailing address
PO BOX 65, MAUD, TX 75567-0065
(903) 277-4663
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
886774
TX
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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