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Individual

TYONNA NICOLE PRICE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
10 CAPEWOOD RD APT 225, SIMPSONVILLE, SC 29680-2770
(352) 255-6743
Mailing address
10 CAPEWOOD RD APT 225, SIMPSONVILLE, SC 29680-2770
(352) 255-6743

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
06/13/2018
Last updated
06/13/2018
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