Search › California › 374J00000X
Ty'Ithreeha Allen Colegrove
NPI 1053272146 · on the registry since 2025 · sole proprietor
Practice
- Address
- 1473 Gavin Ln
Mckinleyville, CA 95519 - Phone
- (707) 496-9971
Registry record
- Primary taxonomy
- 374J00000X
374J00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-11-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California