Individual
SHAMIR THANDIWE TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20200 NE 3RD CT APT 2, MIAMI, FL 33179-5210
(786) 859-7687
Mailing address
20200 NE 3RD CT APT 2, MIAMI, FL 33179-5210
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9542075
FL
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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