MEDICARE: TIYONNA HUNT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant	3639586	DC

General Provider Information

NPI Number	:	1164288171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIYONNA HUNT

Provider Business Mailing Address
First Line	:	2704 31ST ST SE APT 631
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-1524
Country	:	US
Telephone Number	:	202-904-1755
Fax Number	:

Provider Business Practice Location Address
First Line	:	3208 CURTIS DR APT 701
Second Line	:
City	:	TEMPLE HILLS
State	:	MD
Zip	:	20748-1268
Country	:	US
Telephone Number	:	202-904-1755
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2024
Last Update Date	:	02/27/2024

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