Individual
TANERICHA LASHAY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 JACKSON ST, JACKSON, MS 39201
(318) 614-2318
(318) 323-8110
Mailing address
304 TEXAS AVE, SUITE C, MONROE, LA 71201-8529
(318) 614-2318
(318) 323-8110
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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