Individual
TELISA LYONS-WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1442 NW 206TH TER, MIAMI GARDENS, FL 33169-2475
(305) 318-3060
Mailing address
1442 NW 206TH TER, MIAMI GARDENS, FL 33169-2475
(305) 318-3060
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
235111
FL
376J00000X
Homemaker
235111
FL
Other
Enumeration date
06/15/2018
Last updated
06/16/2018
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