Individual
TYRA RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 DEL SOL PL, SICKLERVILLE, NJ 08081-1115
(215) 554-1441
Mailing address
14 DEL SOL PL, SICKLERVILLE, NJ 08081-1115
(215) 554-1441
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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