Individual
TYESIA COCHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCA FIDUCIARY NOTARY
Contact information
Practice address
4301 FLAMINGO WAY, MESQUITE, TX 75150-6611
(972) 207-0228
(401) 425-0308
Mailing address
4301 FLAMINGO WAY, MESQUITE, TX 75150-6611
(972) 207-0228
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
22165985
TX
372600000X
Adult Companion
Primary
—
TX
374U00000X
Home Health Aide
—
TX
Other
Enumeration date
10/17/2011
Last updated
05/06/2023
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