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TYRONDA WHEATON

>> Licensed Practical Nurse >> Nursing Service Providers

Registrant NPI Number: 1932645918

Individual Registrant:
 TYRONDA  WHEATON 
Gender: F
Sole Proprietor

Location and contact information for practice:
117 ROCKY RIDGE ST  CARROLLTON, AL 35447-2139 US
Tel: 205-463-6230  Fax: --

Contact information for business:
PO BOX 222  CARROLLTON, AL 35447-0222 US
Tel: --  Fax: --

Registration Information:
NPI: 1932645918
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164W00000XNursing Service Providers
Licensed Practical Nurse
AL2-054148

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AL - Page 1



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