Individual
TYVARIA BENDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4415 AMHURST DR, EIGHT MILE, AL 36613-3317
(251) 725-2686
Mailing address
4415 AMHURST DR, EIGHT MILE, AL 36613-3317
(251) 725-2686
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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