Most Relevant Information
Provider Data
| NPI Number: | 1003635475 |
| Provider Name: | RIZAL TAMAYO QUERIDA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/03/2024 |
| Last Updated: | 10/08/2024 |
Provider Practice Location
250 CHERRY LN
MANTECA
CA
953374395
Practice Location Phone/Fax
| Phone: | 2092009481 |
| Fax: |
Provider Mailing Location
250 CHERRY LN
MANTECA
CA
953374395
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |