TYQUANA T BASS

MIAMI GARDENS, FL
NPI1538728621
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
Additional Taxonomies251J00000X Nursing Care
372600000X Adult Companion
Enumeration Date2019-06-11
Last Update Date2019-06-11
Business Address
TYQUANA T BASS
3820 NW 170TH ST
MIAMI GARDENS, FL 33055-4529
Phone number: 305-417-1941
Mailing Address
TYQUANA T BASS
PO BOX 471452
MIAMI, FL 33247-1452
Phone number: 305-417-1941
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