Individual
TYASIA REDDIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2941 W LOWELL AVE APT 124, TRACY, CA 95377-7313
(925) 200-3720
Mailing address
2941 W LOWELL AVE APT 124, TRACY, CA 95377-7313
(925) 200-3720
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
F2279859
CA
Other
Enumeration date
08/25/2025
Last updated
08/28/2025
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