Individual
TYESIA S DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7730 PLANTATION BAY DR APT 306, JACKSONVILLE, FL 32244-5194
(904) 343-6349
(904) 343-6349
Mailing address
7730 PLANTATION BAY DR APT 306, JACKSONVILLE, FL 32244-5194
(904) 226-4646
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
CNA-297164
FL
Other
Enumeration date
08/23/2025
Last updated
08/23/2025
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