Individual
WILMA R TYUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM
Contact information
Practice address
32 CONRAD DR, JACKSON, TN 38305-2801
(731) 541-8344
(731) 935-8327
Mailing address
32 CONRAD DR, JACKSON, TN 38305-2801
(731) 541-8344
(731) 935-8327
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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