SearchIllinois390200000X

Tyana Davis

NPI 1538626718 · on the registry since 2019 · sole proprietor

Practice

Address
624 S 21st Ave
Maywood, IL 60153
Phone
(513) 282-9417

Registry record

Primary taxonomy
390200000X
390200000X
Sex
Female
Record last updated
2019-02-25

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 Illinois