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Tydasia Alfred

Technician, Personal Care Attendant in Baton Rouge, LA. Individual provider (NPI-1).

NPI number1225755978
StatusActive
Last updated in NPPESOct 24, 2022

Details

NPI
1225755978
Entity type
Individual (NPI-1)
Name
Tydasia Alfred
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 24, 2022
Certification date
Oct 24, 2022
Last updated
Oct 24, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

11758 S Harrells Ferry Rd Ste C
Baton Rouge, LA 70816-2365

Phone 225-888-5881

Mailing address

11758 S Harrells Ferry Rd Ste C
Baton Rouge, LA 70816-2365

Phone 225-246-2740

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