Individual
TANISHA NIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 MAGNOLIA ST APT 3203, BEAUMONT, TX 77703-3059
(409) 444-5030
Mailing address
3710 MAGNOLIA ST APT 3203, BEAUMONT, TX 77703-3059
(409) 444-5030
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
TX
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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