Shanacia Tyiska

NPI #1912568775 in Longview, Texas

Provider Information

NPI Number: 1912568775
Entity Type: Individual
Name: Shanacia Tyiska
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: Jun 24, 2019
Last Updated: Jun 24, 2019

Practice Location

Address: 308 MEADOWLARK LN
City: Longview
State: Texas
ZIP Code: 75603-7627
Phone: (903) 736-9689

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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