ELMER DAVID TYREE

HESPERIA, CA
NPI1255535738
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-06-11
Last Update Date2007-07-08
Business Address
Mr. ELMER DAVID TYREE
11959 MARIPOSA RD
HESPERIA, CA 92345-1637
Phone number: 760-956-2462
Mailing Address
Mr. ELMER DAVID TYREE
14343 DUKE CT
ADELANTO, CA 92301-3738
Phone number: 951-520-5844