Tyra Cole
Tyra Cole is a Clinic/Center in Gretna, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
405 Gretna Blvd Ste 112Gretna, LA 70053-4945
Phone: (504) 368-5905
Fax: (504) 368-5906
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Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|
Record details
| NPI number | 1992322010 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 6, 2020 |
| Last updated in NPPES | July 14, 2020 |
| Certification date | July 14, 2020 |
| Mailing address | 405 Gretna Blvd Ste 112, Gretna, LA 70053-4945 |
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