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Priscilla Tyus

NPI 1952653305 · on the registry since 2012 · sole proprietor

Practice

Address
2817 E 119th St
Cleveland, OH 44120
Phone
(216) 240-5771

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-10-10

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 Ohio