Individual
TYANNA MAGGIE PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
414 TENNESSEE ST, SUITE Y, REDLANDS, CA 92373-8163
(909) 798-9547
(909) 798-4138
Mailing address
414 TENNESSEE ST, SUITE Y, REDLANDS, CA 92373-8163
(909) 798-9547
(909) 798-4138
Taxonomy
Speciality
Code
Description
License number
State
2470A2800X
Assistant Health Information Record Technician
Primary
—
—
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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