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Individual

MS. TAHNISHA L. EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10756 W MONROE ST, AVONDALE, AZ 85323-6889
(623) 298-8279
Mailing address
10756 W MONROE ST, AVONDALE, AZ 85323-6889
(623) 298-8279

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
06/06/2008
Last updated
06/06/2008
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