Individual
TYANA CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
229 POPLAR ST, HEATH SPRINGS, SC 29058-8744
(803) 577-3735
Mailing address
229 POPLAR ST, HEATH SPRINGS, SC 29058-8744
(803) 577-3735
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
SC
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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