Individual
SHEKAIL TYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMY
Contact information
Practice address
2002 E 62ND ST, INDIANAPOLIS, IN 46220-2310
(219) 378-0483
Mailing address
4637 COMMONWEALTH DR, INDIANAPOLIS, IN 46220-4783
(219) 378-0483
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
24R-1941
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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