Individual
TYKIA FANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 LINKS BLVD APT 3211, TUSCALOOSA, AL 35405-6604
(334) 473-9311
Mailing address
1800 LINKS BLVD APT 3211, TUSCALOOSA, AL 35405-6604
(334) 473-9311
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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