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Denise Tyler
NPI 1194267682 · on the registry since 2016 · sole proprietor
Practice
- Address
- 7919 Fayette St
Phila, PA 19150 - Phone
- (267) 402-0108
Registry record
- Primary taxonomy
- Preferred Provider Organization
305R00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-11-15
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 Pennsylvania