NPI 1083118582

S Valencia Tyrell, CPC

Practitioner Prevention Professional Capitol Heights, MD

Practice location

Address: 920 Capitol Heights Blvd Suite #b, Capitol Heights, MD 20743
Phone: (240) 505-8960
Fax: (240) 505-8960

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 077348897 (MD)

Other Prevention Professional providers in Maryland →

Registry record

NPI: 1083118582
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Mar 2018
Record last updated: 20 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.