Individual
TYNEESHA MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3701 LOOP RD, TUSCALOOSA, AL 35404-5015
(205) 554-3728
Mailing address
14533 SANDY TRCE, TUSCALOOSA, AL 35405-7305
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-067161
AL
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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