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Tawaski Montrell Anderson

Technician, Personal Care Attendant in Minot, ND. Individual provider (NPI-1).

NPI number1255199733
StatusActive
Last updated in NPPESMar 11, 2024

Details

NPI
1255199733
Entity type
Individual (NPI-1)
Name
Tawaski Montrell Anderson
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 11, 2024
Certification date
Mar 10, 2024
Last updated
Mar 11, 2024

Taxonomy and licenses

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

Practice location

3332 8th St Ne
Minot, ND 58703-2610

Phone 470-909-8164

Mailing address

3332 8th St Ne
Minot, ND 58703-2610

Phone 701-770-0886

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