TYLER WARREN HUESCA

LONG BEACH, CA
NPI1518469139
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: CA  390200000X)
Enumeration Date2018-02-28
Last Update Date2018-02-28
Business Address
TYLER WARREN HUESCA
1250 N BELLFLOWER BLVD
LONG BEACH, CA 90840-0004
Phone number: 562-985-4111
Mailing Address
TYLER WARREN HUESCA
2722 BLUME DR
LOS ALAMITOS, CA 90720-4703
Phone number: 562-370-5059
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