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Jerry L Tyner
Student in an Organized Health Care Education/Training Program in Fountain Valley, California
NPI 1851704407

Jerry L Tyner is a Student in an Organized Health Care Education/Training Program based in Fountain Valley, CA. Jerry L Tyner practices in Fountain Valley, CA. The NPI Number for Jerry L Tyner is 1851704407 and holds a License No. 22360 (California).

The current practice location address for Jerry L Tyner is 17350 Mount Herrmann St Ste A, Fountain Valley, CA and can be reached out via phone at 714-444-3463 and via fax at 714-444-1768.

Location: 17350 Mount Herrmann St Ste A, Fountain Valley, CA, 92708-4114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851704407
Provider Name
Jerry L Tyner
Credential
Provider Entity Type
Individual
Gender
Male
Address
17350 Mount Herrmann St Ste A, Fountain Valley, CA, 92708-4114
Phone Number
714-444-3463
Fax Number
714-444-1768
Provider Enumeration Date
06/10/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17350 Mount Herrmann St Ste A
City
Fountain Valley
State
California
Zip
92708-4114
Phone Number
714-444-3463
Fax Number
714-444-1768
person
Provider Business Mailing Address Details
Address
17350 Mount Herrmann St Ste A
City
Fountain Valley
State
California
Zip
92708-4114
Phone Number
714-444-3463
Fax Number
714-444-1768
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
22360 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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