Individual
DEMARE TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 E MOUNT AIRY AVE APT 2B, PHILADELPHIA, PA 19150-1142
(267) 886-3906
Mailing address
1601 E MOUNT AIRY AVE APT 2B, PHILADELPHIA, PA 19150-1142
(267) 886-3906
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
PA
Other
Enumeration date
03/25/2020
Last updated
04/10/2020
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