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NPI Code Detail

MEDICARE: MS. TONYA LYNETTE MANN

MEDICARE:  MS. TONYA LYNETTE MANN
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
1372600000XAdult Companion53414022221TMOH

General Provider Information

NPI Number : 1992519375
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TONYA LYNETTE MANN
Provider Business Mailing Address
First Line : 2777 NOBLE RD APT 9
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44121-2245
Country : US
Telephone Number : 234-243-9685
Fax Number :
Provider Business Practice Location Address
First Line : 2777 NOBLE RD APT 9
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44121-2245
Country : US
Telephone Number : 234-243-9685
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2025
Last Update Date : 02/05/2025

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Directions to “ MS. TONYA LYNETTE MANN ” Practice Location

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