NPI 1487227484

Tyiesha Nicole Cleckley

Practitioner Personal Care Attendant Orangeburg, SC

Practice location

Address: 316 Winward Ave, Orangeburg, SC 29115-6471
Phone: (803) 515-4658

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

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Registry record

NPI: 1487227484
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jul 2021
Record last updated: 19 Jul 2021

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.