Candice Stallone Tyree
NPI #1366900425 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1366900425
- Entity Type
- Individual
- Name
- Candice Stallone Tyree
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Mar 7, 2019
- Last Updated
- Mar 7, 2019
Practice Location
- Address
- 6604 JEFFERSON PAIGE RD
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71119-5006
- Phone
- (318) 288-1949
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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