Denise Tyler
Denise Tyler is a Preferred Provider Organization in Phila, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.
- Licensed in
- PA
- In the registry since
- 2016
Practice location Address checks out
7919 Fayette StPhila, PA 19150-2103
Phone: (267) 402-0108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence JI112924P6 (PA) |
|---|
Record details
| NPI number | 1194267682 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 15, 2016 |
| Last updated in NPPES | November 15, 2016 |
| Mailing address | 7919 Fayette St, Phila, PA 19150-2103 |
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