Individual
TYSEAN BELLAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1818 NEW YORK AVE NE, WASHINGTON, DC 20002-1848
(240) 640-0759
Mailing address
1818 NEW YORK AVE NE, WASHINGTON, DC 20002-1848
(240) 640-0759
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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