Individual
SETH AARON TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
414 TOWNSEND ST, VOLTAIRE, ND 58792-1703
(540) 845-7922
Mailing address
414 TOWNSEND ST, VOLTAIRE, ND 58792-1703
(540) 845-7922
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ND4674626
—
ND
Enumeration date
10/09/2021
Last updated
10/09/2021
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