Jerry L Tyner Valid NPI
Individual provider · Student in an Organized Health Care Education/Training Program · Fountain Valley, CA
- NPI
- 1851704407
- Type
- Individual (Type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Specialty group
- Student, Health Care
- Taxonomy code
- 390200000X
- License number
- 22360 (CA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2014-06-10
- Last updated
- 2014-06-10
Practice location
17350 Mount Herrmann St Ste A
Fountain Valley, CA 92708-4114
(714) 444-3463