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NPI Code Detail

MEDICARE: TYIERRA D HESS

MEDICARE: TYIERRA D HESS
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
1172V00000XCommunity Health WorkerCA

General Provider Information

NPI Number : 1497682975
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYIERRA D HESS
Provider Business Mailing Address
First Line : 2680 HIGHLAND AVE APT 1222
Second Line :
City : HIGHLAND
State : CA
Zip : 92346-2161
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 794 W 40TH ST # 1222
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92407-3545
Country : US
Telephone Number : 909-352-6076
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2026
Last Update Date : 05/07/2026

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Directions to “ TYIERRA D HESS ” Practice Location

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