Individual
MRS. TYSHA-MONIQUE HELEN TALAVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6910 RICHMOND HWY, ALEXANDRIA, VA 22306-1849
(571) 357-2229
Mailing address
260 S REYNOLDS ST, APT.206, ALEXANDRIA, VA 22304-4400
(347) 622-6678
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
0019007162
VA
Other
Enumeration date
07/01/2009
Last updated
10/22/2010
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