Individual
MS. RICKIARA TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
5602 BALTIMORE NATIONAL PIKE STE 302, BALTIMORE, MD 21228-1410
(443) 531-0226
Mailing address
3305 THE ALAMEDA, BALTIMORE, MD 21218-3008
(443) 531-0226
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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