TYRA REAL

Licensed Practical Nurse

NPI: 1588513600Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

4703130901(MI)

Contact & Hours

Address: 1153 STACY DR
CANTON, MI 48188
Phone: (717) 801-6030

Quick Facts

NPI: 1588513600
Entity Type: Individual
Gender: X
Medicare: Not confirmed
Specialties: 1
Locations: 1

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