Individual
TINA MARIE TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1530 E 19TH ST, BAKERSFIELD, CA 93305-5406
(661) 631-5895
(661) 631-5898
Mailing address
1530 E 19TH ST, BAKERSFIELD, CA 93305-5406
(661) 631-5895
(661) 631-5898
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
95088316
CA
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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