Most Relevant Information
Provider Data
| NPI Number: | 1003635053 |
| Provider Name: | DENISHA TYNES |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/07/2024 |
| Last Updated: | 10/07/2024 |
Provider Practice Location
506 W JACKMAN ST
LANCASTER
CA
935342531
Practice Location Phone/Fax
| Phone: | 6618646353 |
| Fax: |
Provider Mailing Location
506 W JACKMAN ST
LANCASTER
CA
935342531
Provider Mailing Phone/Fax
| Phone: | 6618646353 |
| Fax: |