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Individual

TASHA WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3912 ACCOMACK DR APT 4, LOUISVILLE, KY 40241-1933
(502) 594-5518
Mailing address
3912 ACCOMACK DR APT 4, LOUISVILLE, KY 40241-1933
(502) 594-5518

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2041850
KY

Other

Enumeration date
01/10/2014
Last updated
01/10/2014
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