TYLER DUSTIN DIAZ

FRESNO, CA
NPI1164887857
Former NameTYLER DUSTIN BARHAM
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  37792)
Enumeration Date2015-12-22
Last Update Date2022-07-12
Business Address
TYLER DUSTIN DIAZ LPT
4441 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 550-600-9180
Mailing Address
TYLER DUSTIN DIAZ LPT
4441 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-600-9180
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