Individual
TYYONNA REN'EE MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11156 CANAL RD STE A, CINCINNATI, OH 45241-5816
(614) 487-8758
Mailing address
11156 CANAL RD STE A, CINCINNATI, OH 45241-5816
(614) 487-8758
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
03/21/2022
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