Individual
TYRIAN CHENLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
802 CUSTER AVE, NORFOLK, NE 68701-0859
(402) 371-3567
Mailing address
802 CUSTER AVE, NORFOLK, NE 68701-0859
(402) 649-2233
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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