Individual
TYSHENNA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2210 4TH AVE N, GRAND FORKS, ND 58203-2953
(352) 232-8930
Mailing address
2210 4TH AVE N, GRAND FORKS, ND 58203-2953
(352) 232-8930
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1558228734
ND
Other
Enumeration date
01/08/2026
Last updated
01/10/2026
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