Individual
TYANNA PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 EASTERN AVE NE APT PH4, WASHINGTON, DC 20019-4036
(202) 609-2500
Mailing address
30 UPPER ROCK CIR APT 124, ROCKVILLE, MD 20850-4460
(202) 595-4842
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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