Individual
TAVIA CHARELLE MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 AIRBRAKE AVE, WILMERDING, PA 15148-1000
(412) 589-3541
Mailing address
411 AIRBRAKE AVE, WILMERDING, PA 15148-1000
(412) 589-3541
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
39323601
PA
372600000X
Adult Companion
Primary
39323601
PA
374U00000X
Home Health Aide
10026492
PA
376J00000X
Homemaker
39323601
PA
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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