Katija Tyson
Katija Tyson is a Licensed Practical Nurse in Middletown, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2022
Practice location Address checks out
117 Watkins AveMiddletown, NY 10940-4518
Phone: (845) 239-1726
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Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 333097 (NY) |
|---|
Record details
| NPI number | 1518616002 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 22, 2022 |
| Last updated in NPPES | March 22, 2022 |
| Certification date | March 22, 2022 |
| Mailing address | 117 Watkins Ave, Middletown, NY 10940-4518 |
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