SearchFlorida224Z00000X

Tanisha Wyche

NPI 1659793156 · on the registry since 2014 · sole proprietor

Practice

Address
141 San Luis St Sw
Palm Bay, FL 32908
Phone
(321) 208-2674

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-01-17

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