Individual
TABITHA NICHOLE DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 COON RIDGE DR, CANNON, KY 40923-6345
(910) 813-9941
Mailing address
15 COON RIDGE DR, CANNON, KY 40923-6345
(910) 813-9941
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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