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Joseph Tambe Tabe

Registered Nurse in Grand Prairie, TX. Individual provider (NPI-1).

NPI number1982175063
StatusActive
Last updated in NPPESDec 16, 2018

Details

NPI
1982175063
Entity type
Individual (NPI-1)
Name
Joseph Tambe Tabe
Sex
Male
Sole proprietor
No
Enumeration date
Dec 16, 2018
Last updated
Dec 16, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse956319TXYes

Practice location

3736 Edgewood Ct
Grand Prairie, TX 75052-6698

Phone 240-462-8065

Mailing address

3736 Edgewood Ct
Grand Prairie, TX 75052-6698

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