TYANN JEANETTE PRENTICE

PORTLAND, OR
NPI1851075246
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2023-06-14
Last Update Date2023-06-14
Business Address
TYANN JEANETTE PRENTICE
509 NE ALBERTA ST
PORTLAND, OR 97211-3976
Phone number: 503-249-7767
Mailing Address
TYANN JEANETTE PRENTICE
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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