Individual
MR. ELVIS NANA TAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11991 AUDELIA RD APT 114, DALLAS, TX 75243-0440
(214) 475-6693
Mailing address
11991 AUDELIA RD APT 114, DALLAS, TX 75243-0440
(214) 475-6693
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
200471
TX
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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