RYAN THEBO

SAN DIEGO, CA
NPI1043761141
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: CA  95003068)
Additional Taxonomies363LF0000X Nurse Practitioner Family
(Licence: CA  95003068)
Enumeration Date2016-10-24
Last Update Date2023-06-12
Business Address
RYAN THEBO
8880 RIO SAN DIEGO DR STE 800
SAN DIEGO, CA 92108-1642
Phone number: 619-363-6570
Mailing Address
RYAN THEBO
440 N BARRANCA AVE APT 20
COVINA, CA 91723-1722
Phone number: 888-909-8676