Individual
TYSHIEKA MAYLEE STINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12512 WELLAND TRL, CHARLOTTE, NC 28215-9640
(704) 891-9616
Mailing address
12512 WELLAND TRL, CHARLOTTE, NC 28215-9640
(704) 891-9616
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
HC3947
NC
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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