Individual
TYKASIA FAVORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 MEANSVILLE RD, UNION, SC 29379-7756
(864) 466-8929
Mailing address
501 MEANSVILLE RD, UNION, SC 29379-7756
(864) 466-8929
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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