Individual
TYISHI JESSICA LAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 MAPLE AVE SE, MASSILLON, OH 44646-8066
(234) 378-7920
Mailing address
119 MAPLE AVE SE, MASSILLON, OH 44646-8066
(234) 378-7920
Taxonomy
Speciality
Code
Description
License number
State
364SH0200X
Home Health Clinical Nurse Specialist
Primary
UA780040
OH
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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