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Tylynn Ith

Student in an Organized Health Care Education/Training Program in Danbury, CT. Individual provider (NPI-1).

NPI number1114729902
StatusActive
Last updated in NPPESMar 25, 2025

Details

NPI
1114729902
Entity type
Individual (NPI-1)
Name
Tylynn Ith
Sex
Female
Sole proprietor
No
Enumeration date
Mar 25, 2025
Certification date
Mar 25, 2025
Last updated
Mar 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
2255A2300X Specialist/Technologist, Athletic Trainer––

Practice location

11 Mirijo Rd
Danbury, CT 06811-3825

Phone 203-917-5403

Mailing address

11 Mirijo Rd
Danbury, CT 06811-3825

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