MICHAEL BRADFORD TYSON

SAN JOSE, CA
NPI1477378446
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  703730)
Enumeration Date2024-11-15
Last Update Date2024-11-15
Business Address
MICHAEL BRADFORD TYSON LVN
425 E SANTA CLARA ST
SAN JOSE, CA 95113-1936
Phone number: 408-299-0462
Mailing Address
MICHAEL BRADFORD TYSON LVN
6130 MONTEREY HWY SPC 39
SAN JOSE, CA 95138-1708
Phone number: