Search › Virginia › 103TS0200X
Maryjo Tyson
NPI 1457850745 · on the registry since 2018 · sole proprietor
Practice
- Address
- 13460 Woodside Ln
Newport News, VA 23608 - Phone
- (757) 886-7744
- Fax
- (757) 989-0231
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-02-02
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 Virginia