Jerry L Tyner
Jerry L Tyner is a Student in an Organized Health Care Education/Training Program in Fountain Valley, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2014
Practice location Address checks out
17350 Mount Herrmann St Ste AFountain Valley, CA 92708-4114
Phone: (714) 444-3463
Fax: (714) 444-1768
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 22360 (CA) |
|---|
Record details
| NPI number | 1851704407 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 10, 2014 |
| Last updated in NPPES | June 10, 2014 |
| Mailing address | 17350 Mount Herrmann St Ste A, Fountain Valley, CA 92708-4114 |
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