Tyresha Lanee Puckett, LVN
NPI #1073124442 in Pico Rivera, California
Provider Information
- NPI Number
- 1073124442
- Entity Type
- Individual
- Name
- Tyresha Lanee Puckett, LVN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Vocational Nurse
- Credential
- LVN
- Enumeration Date
- Aug 11, 2020
- Last Updated
- Feb 4, 2021
Practice Location
- Address
- 8207 WHITTIER BLVD
- City
- Pico Rivera
- State
- California
- ZIP Code
- 90660-2521
- Phone
- (562) 695-0737
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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