Individual
VELMA TYCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
517 LIBERTY ST, SOUTH BEND, IN 46619-3138
(574) 383-7072
Mailing address
517 LIBERTY ST, SOUTH BEND, IN 46619-3138
(574) 383-7072
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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