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: |