Individual provider · NPI-1

Tabitha Corley

Community Health Worker · New Orleans, LA

NPI number1003342544
StatusActive
Last updated in NPPESMay 3, 2017

Details

NPI
1003342544
Entity type
Individual (NPI-1)
Name
Tabitha Corley
Sex
Female
Sole proprietor
No
Enumeration date
May 3, 2017
Last updated
May 3, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

1010 Common St Ste 500
New Orleans, LA 70112-2467

Phone 504-302-1323 · Fax 504-324-4573

Mailing address

1010 Common St Ste 500
New Orleans, LA 70112-2467

Phone 504-302-1323 · Fax 504-324-4573

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