Individual
TABITHA KANYUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 SHORE DR APT B, PEABODY, MA 01960-3099
(978) 201-8051
Mailing address
26 SHORE DR APT B, PEABODY, MA 01960-3099
(978) 201-8051
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
S49909797
MA
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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