Individual
TABITHA NANKYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1564 HAZEL ST, ARCADIA, LA 71001-4106
(318) 579-5105
(318) 579-5106
Mailing address
1564 HAZEL ST, ARCADIA, LA 71001-4106
(318) 579-5105
(318) 579-5106
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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