Individual
SHANTIA TYLER-ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 CAPITOL TRL, NEWARK, DE 19711-5709
(302) 454-7520
Mailing address
1423 CAPITOL TRL, NEWARK, DE 19711-5709
(302) 454-7520
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP49868600
NJ
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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