Individual provider · Type 1 NPI
Tyeshia Gideon
Specialist · Palmdale, CA
NPI number
1124965157
Active
Practice location
550 W Rancho Vista Blvd # D12
Palmdale, CA 93551-3011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1124965157
Tyeshia Gideon's National Provider Identifier is 1124965157, issued on Apr 29, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Palmdale, CA. The record was last updated on Apr 29, 2026.