SHANACIA TYISKA

LONGVIEW, TX
NPI1912568775
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: TX  879044)
Enumeration Date2019-06-24
Last Update Date2019-06-24
Business Address
SHANACIA TYISKA
308 MEADOWLARK LN
LONGVIEW, TX 75603-7627
Phone number: 903-736-9689
Mailing Address
SHANACIA TYISKA
308 MEADOWLARK LN
LONGVIEW, TX 75603-7627
Phone number: 903-736-9689
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