Individual
TYNNATTA CHESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGENCY/GROUP
Contact information
Practice address
119 SILVER DOLLAR DR, HAWTHORNE, FL 32640-4412
(352) 281-0072
Mailing address
119 SILVER DOLLAR DR, HAWTHORNE, FL 32640-4412
(352) 281-0072
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
164930
FL
Other
Enumeration date
02/06/2023
Last updated
04/16/2025
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