Tyesha Thames, LPN
NPI #1265291025 in West Allis, Wisconsin
Provider Information
- NPI Number
- 1265291025
- Entity Type
- Individual
- Name
- Tyesha Thames, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Mar 15, 2024
- Last Updated
- Mar 15, 2024
Practice Location
- Address
- 11390 W THEODORE TRECKER WAY
- City
- West Allis
- State
- Wisconsin
- ZIP Code
- 53214-1135
- Phone
- (414) 928-1401
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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