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Demare Tyson
NPI 1801423140 · on the registry since 2020
Practice
- Address
- 1601 E Mount Airy Ave Apt 2b
Philadelphia, PA 19150 - Phone
- (267) 886-3906
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-04-10
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 Pennsylvania