SearchFlorida251E00000X

Tyquana Bass

NPI 1538728621 · on the registry since 2019 · sole proprietor

Practice

Address
3820 Nw 170th St
Miami Gardens, FL 33055
Phone
(305) 417-1941

Registry record

Primary taxonomy
251E00000X
251E00000X
Also registered as
251J00000X
372600000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-06-11

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 Florida