Individual
NATASHA W TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5615 BRENTWOOD DR, JACKSON, MS 39211-4233
(601) 540-5149
Mailing address
5615 BRENTWOOD DR, JACKSON, MS 39211-4233
(601) 540-5149
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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