Search › Maryland › 172V00000X
Tyasia Moulton
NPI 1467372987 · on the registry since 2026 · sole proprietor
Practice
- Address
- 19429 Brassie Pl Apt 301
Montgomery Village, MD 20886 - Phone
- (240) 789-8465
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Sex
- Female
- Record last updated
- 2026-07-16
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 Maryland