Individual
ANTONAE TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 IVERSON ST APT 203, OXON HILL, MD 20745-3903
(240) 935-3187
Mailing address
1402 IVERSON ST APT 203, OXON HILL, MD 20745-3903
(240) 935-3187
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
T460067578077
MD
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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