Individual
ERICA N TYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6370 AMBLESIDE DR APT C, COLUMBUS, OH 43229-1994
(614) 302-2289
Mailing address
6370 AMBLESIDE DR APT C, COLUMBUS, OH 43229-1994
(614) 302-2289
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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