Individual
MS. TANYA D VAN GORDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
515 ANDREWS LAKE RD, FELTON, DE 19943-4648
(302) 943-8276
Mailing address
515 ANDREWS LAKE RD, FELTON, DE 19943-4648
(302) 943-8276
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0010798
DE
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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