Individual
TYSHEANNA SPATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1602 ENCLAVE PKWY APT 2002, HOUSTON, TX 77077-3700
(832) 367-0703
Mailing address
1602 ENCLAVE PKWY APT 2002, HOUSTON, TX 77077-3700
(832) 367-0703
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA406270
FL
376K00000X
Nurse's Aide
NA0061032510
TX
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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