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Individual

MRS. SHYANA MARIA TIRADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1016 EUCLID AVE, CHARLOTTE, NC 28203-4520
(704) 807-5699
(704) 631-4574
Mailing address
1016 EUCLID AVE, CHARLOTTE, NC 28203-4520
(704) 807-5699
(704) 631-4574

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
03/20/2018
Last updated
03/20/2018
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