Individual
TIFFANY JEAN TYREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4702 LEONARD BLVD S, LEHIGH ACRES, FL 33973-6157
(239) 219-4254
Mailing address
4702 LEONARD BLVD S, LEHIGH ACRES, FL 33973-6157
(239) 219-4254
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
22000078219
FL
376J00000X
Homemaker
Primary
22000078219
FL
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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