Wallace, Tyresha Lyna
Wallace, Tyresha Lyna is an individual health care provider with primary practice located at 45528 Coosan Ct , Great Mills MD 20634-2454. She recently has only one registered license in Nursing Service Related Providers / Doula, which is considered as her primary health care specialty. Wallace, Tyresha Lyna can be contacted via phone (443) 404-9473.Contact Information
Primary practice address
45528 Coosan Ct
Great Mills MD 20634-2454
Phone: (443) 404-9473
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Doula | 374J00000X | Maryland |
Profile Details
| NPI number | 1497568455 |
|---|---|
| LBN Legal business name | Wallace, Tyresha Lyna |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2025 |
| Last updated | Jun 15th, 2026 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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