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Tanisha McClure, LVN

Licensed Vocational Nurse in Irving, TX. Individual provider (NPI-1).

NPI number1962047985
StatusActive
Last updated in NPPESNov 13, 2019

Details

NPI
1962047985
Entity type
Individual (NPI-1)
Name
Tanisha McClure
Credential
LVN
Sex
Female
Sole proprietor
No
Enumeration date
Nov 13, 2019
Last updated
Nov 13, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164X00000X Licensed Vocational Nurse320613TXYes

Practice location

1711 Waldrop St
Irving, TX 75061-2836

Phone 469-428-3078

Mailing address

1711 Waldrop St
Irving, TX 75061-2836

Phone 469-428-3078

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