Tyesia Andrette King, SPECIMEN COLLECTOR
NPI #1609533041 in Hazlehurst, Georgia
Provider Information
- NPI Number
- 1609533041
- Entity Type
- Individual
- Name
- Tyesia Andrette King, SPECIMEN COLLECTOR
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Contractor
- Credential
- SPECIMEN COLLECTOR
- Enumeration Date
- Nov 19, 2021
- Last Updated
- Nov 19, 2021
Practice Location
- Address
- 153 N MILLER ST APT 47
- City
- Hazlehurst
- State
- Georgia
- ZIP Code
- 31539-6818
- Phone
- (912) 347-2737
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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