DOUGLAS WILLARD TYNER

SAN DIEGO, CA
NPI1881112076
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2017-09-07
Last Update Date2019-01-30
Business Address
DOUGLAS WILLARD TYNER
1465 30TH ST
SAN DIEGO, CA 92154-3497
Phone number: 619-428-1000
Mailing Address
DOUGLAS WILLARD TYNER
1465 30TH ST STE K
SAN DIEGO, CA 92154-3497
Phone number: 619-428-1000
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