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Individual

TYESHA DILLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
107 ARMSTRONG LN, PERTH AMBOY, NJ 08861-5212
(732) 639-5300
(732) 639-5300
Mailing address
107 ARMSTRONG LN, PERTH AMBOY, NJ 08861-5212
(732) 639-5300
(732) 639-5300

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
32WG05140000
NJ

Other

Enumeration date
02/07/2021
Last updated
02/07/2021
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