Individual
TYNESIA CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1716 E JEAN ST, TAMPA, FL 33610-3431
(813) 401-4509
Mailing address
1716 E JEAN ST, TAMPA, FL 33610-3431
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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