TRISTAN NYL JEREMIAH ALCANTARA

ORANGE, CA
NPI1851194757
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  42307)
Enumeration Date2025-03-28
Last Update Date2025-03-28
Business Address
TRISTAN NYL JEREMIAH ALCANTARA
265 S ANITA DR STE 201
ORANGE, CA 92868-3346
Phone number: 714-410-3505
Mailing Address
TRISTAN NYL JEREMIAH ALCANTARA
265 S ANITA DR STE 201
ORANGE, CA 92868-3346
Phone number: 714-410-3505
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