TISHA DAWN TANNER

CLAY, WV
NPI1275365959
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2024-08-20
Last Update Date2024-08-20
Business Address
TISHA DAWN TANNER
172 MAIN STREET
CLAY, WV 25043
Phone number: 304-587-4251
Mailing Address
TISHA DAWN TANNER
PO BOX 455
CLAY, WV 25043-0455
Phone number: 304-587-4251
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