TYE PATCHANA

MORENO VALLEY, CA
NPI1740774306
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-06-18
Last Update Date2018-06-18
Business Address
TYE PATCHANA DO
26520 CACTUS AVE
MORENO VALLEY, CA 92555-3927
Phone number: 951-486-5912
Mailing Address
TYE PATCHANA DO
26520 CACTUS AVE
MORENO VALLEY, CA 92555-3927
Phone number: 951-486-5912