Individual
TYESHA BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3049 ROTUNDA CT S, COLUMBUS, OH 43232-3926
(478) 308-1596
Mailing address
3049 ROTUNDA CT S, COLUMBUS, OH 43232-3926
(478) 308-1596
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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