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Jennifer Ty

NPI 1538926191 · on the registry since 2024 · sole proprietor

Practice

Address
2075 Pescara Ct
Las Vegas, NV 89123
Phone
(917) 592-3395

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-29

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 Nevada