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Miss Tyana Davis
Student in an Organized Health Care Education/Training Program in Maywood, Illinois
NPI 1538626718

Tyana Davis is a Student in an Organized Health Care Education/Training Program based in Maywood, IL. Tyana Davis practices in Maywood, IL. The NPI Number for Tyana Davis is 1538626718 and holds a License No. (Illinois).

The current practice location address for Tyana Davis is 624 S 21St Ave, Maywood, IL and can be reached out via phone at 513-282-9417.

Location: 624 S 21St Ave, Maywood, IL, 60153-1476
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538626718
Provider Name
Tyana Davis
Credential
Provider Entity Type
Individual
Gender
Female
Address
624 S 21St Ave, Maywood, IL, 60153-1476
Phone Number
513-282-9417
Fax Number
Provider Enumeration Date
02/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
624 S 21St Ave
City
Maywood
State
Illinois
Zip
60153-1476
Phone Number
513-282-9417
Fax Number
person
Provider Business Mailing Address Details
Address
624 S 21St Ave
City
Maywood
State
Illinois
Zip
60153-1476
Phone Number
513-282-9417
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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