Individual
TYNITA STEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5304 GAUTIER VANCLEAVE RD, GAUTIER, MS 39553-4216
(228) 326-0521
(228) 205-0713
Mailing address
5304 GAUTIER VANCLEAVE RD, GAUTIER, MS 39553-4216
(228) 326-0521
(228) 205-0713
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
06-53002
MS
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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