Individual
TYNISHA TAMARA POLLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7705 DANIELS AVE, BALTIMORE, MD 21234-6913
(667) 381-8556
Mailing address
7705 DANIELS AVE, BALTIMORE, MD 21234-6913
(667) 381-8556
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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