Individual
MS. TANYA PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
304 VISTA DR, AMERICUS, GA 31719-2220
(229) 939-0430
Mailing address
304 VISTA DR, AMERICUS, GA 31719-2220
(229) 939-0430
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
LPN083719
GA
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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