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Individual

TAWNISHA GRACE FREEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
130 S WILLOW ST STE 9, KENAI, AK 99611-9107
(907) 929-5826
Mailing address
130 S WILLOW ST STE 9, KENAI, AK 99611-9107

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
3747P1801X
Personal Care Attendant

Other

Enumeration date
03/12/2025
Last updated
03/12/2025
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