TYDA VIVEROS

STOCKTON, CA
NPI1063946002
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  37052)
Enumeration Date2017-04-17
Last Update Date2017-04-17
Business Address
-- TYDA VIVEROS
1111 N EL DORADO ST
STOCKTON, CA 95202-1305
Phone number: 209-938-0228
Mailing Address
-- TYDA VIVEROS
1111 N. ELDORADO STREET
STOCKTON, CA 95202
Phone number: 209-938-0228
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