Individual
MS. MELODY LAVONNE TYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
3470 HARVEY AVE, CINCINNATI, OH 45229-2935
(513) 381-1344
(513) 381-2607
Mailing address
3470 HARVEY AVE, CINCINNATI, OH 45229-2935
(513) 381-1344
(513) 381-2607
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400642980707
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2809992
—
OH
Enumeration date
06/18/2008
Last updated
06/18/2008
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