Individual
JENAE TYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2013 N ARMISTEAD AVE, D18, HAMPTON, VA 23666-3400
(757) 316-6719
Mailing address
2013 N ARMISTEAD AVE, D18, HAMPTON, VA 23666-3400
(757) 316-6719
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
125633
VA
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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