MISS Tyeshia Monique Ravenel

NPI #1215296439 in Hyde Park, Massachusetts

Provider Information

NPI Number: 1215296439
Entity Type: Individual
Name: MISS Tyeshia Monique Ravenel
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 8, 2012
Last Updated: Jul 2, 2024

Practice Location

Address: 695 TRUMAN HWY
City: Hyde Park
State: Massachusetts
ZIP Code: 02136-3552
Phone: (888) 763-7272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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