Individual
TYKEIA SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
179 QUINCY ST STE 2, BROCKTON, MA 02302-2966
(617) 237-6838
Mailing address
179 QUINCY ST STE 2, BROCKTON, MA 02302-2966
(508) 283-3154
(833) 450-5159
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2294839
MA
Other
Enumeration date
08/12/2016
Last updated
05/12/2025
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