Individual
TANYA ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2360 SOULT ST, MANDEVILLE, LA 70448-2259
(985) 237-9750
Mailing address
2360 SOULT ST, MANDEVILLE, LA 70448-2259
(985) 237-9750
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
011288940
LA
376K00000X
Nurse's Aide
93502
LA
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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