Individual
LATASHA TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2333 WHITNEY LN, WYLIE, TX 75098-0598
(469) 247-4315
Mailing address
2333 WHITNEY LN, WYLIE, TX 75098-0598
(469) 247-4315
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
821712
TX
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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