Individual
LAWANDA TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10937 COLONIAL HEIGHTS LN, FORT WORTH, TX 76179-5317
(803) 439-3622
Mailing address
10937 COLONIAL HEIGHTS LN, FORT WORTH, TX 76179-5317
(803) 439-3622
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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