Individual
TYRESE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2017 NEWTON ST NE, WASHINGTON, DC 20018-2824
(202) 907-7954
Mailing address
2017 NEWTON ST NE, WASHINGTON, DC 20018-2824
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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