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TAMBRA LATRICE ROBERTS

Nursing Service Related Providers Adult Companion

Provider NPI: 1114579000

Provider Information:
 TAMBRA LATRICE ROBERTS 
Gender: F
Sole Proprietor

Practice Location:
515 HWY 178 EAST HOLLYSPRINGS  HOLLYSPRINGS, MS 38635-2523 US
Tel: 662-274-3211  Fax: --

Business Mailing Address:
515 HWY 178 EAST HOLLYSPRINGS  HOLLYSPRINGS, MS 38635-2523 US
Tel: 662-274-3211  Fax: --

NPI Information:
NPI: 1114579000
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N372600000XNursing Service Related Providers
Adult Companion
N374U00000XNursing Service Related Providers
Home Health Aide
Y376J00000XNursing Service Related Providers
Homemaker
N385H00000XRespite Care Facility
Respite Care

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 376J00000X

Type:

Classification:



Definition:



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