Individual
GLENDA TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
500 W 3RD ST, WILMINGTON, DE 19801-2320
(302) 354-2146
Mailing address
500 W 3RD ST, WILMINGTON, DE 19801-2320
(302) 354-2146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT0001531
DE
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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