Individual
TANISHA DANAE DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4513 LUDLOW ST, PHILADELPHIA, PA 19139-3640
(215) 954-7041
Mailing address
1500 CHESTNUT ST STE 1694, PHILADELPHIA, PA 19102-2737
(215) 954-7041
(856) 629-0837
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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