Individual
TYLER OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
36030226
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
934330623
CENTRAL PIEDMONT EMT-MEDIC CERTIFICATION
NC
Enumeration date
06/10/2024
Last updated
06/10/2024
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