Tyler Greenstreet

NPI #1588392310 in Gerrardstown, West Virginia

Provider Information

NPI Number: 1588392310
Entity Type: Individual
Name: Tyler Greenstreet
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Aug 10, 2022
Last Updated: Aug 10, 2022

Practice Location

Address: 267 LAWRENCE RD
City: Gerrardstown
State: West Virginia
ZIP Code: 25420-1704
Phone: (540) 336-4527

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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