Most Relevant Information
Provider Data
| NPI Number: | 1003293655 |
| Provider Name: | JOHNNY TAMAS |
| Entity Type: | Individual |
| Taxonomy Code: | 167G00000X |
| Specialty: | Licensed Psychiatric Technician |
| License Number: | 34223 |
Most Important Dates
| Enumeration Date: | 05/04/2015 |
| Last Updated: | 05/04/2015 |
Provider Practice Location
2080 S E ST
SAN BERNARDINO
CA
924082773
Practice Location Phone/Fax
| Phone: | 9093889191 |
| Fax: |
Provider Mailing Location
2080 S E ST
SAN BERNARDINO
CA
924082773
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |