Individual
TYLENA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4035 W ALAMEDA RD, GLENDALE, AZ 85310-3304
(623) 445-4700
Mailing address
5803 N 71ST DR, GLENDALE, AZ 85303-5707
(310) 251-9687
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
235681
AZ
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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