NPI Profile for DWANA TIBBS in BUNKIE, LA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
163WH0200X | |||
Licensed Practical Nurse |
164W00000X |
| NPI Number | 1093324436 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/30/2020 | |
| Last updated | 07/30/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DWANA TIBBS
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