JURIAN TYLER EDELENBOS

SACRAMENTO, CA
NPI1124967211
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2026-03-25
Last Update Date2026-03-25
Business Address
JURIAN TYLER EDELENBOS DO
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number: 916-734-2680
Mailing Address
JURIAN TYLER EDELENBOS DO
2315 STOCKTON BLVD
SACRAMENTO, CA 95817-2201
Phone number: 916-734-2680