Jeremy Scott Bard LPT

NPI 1083046395 - Licensed Psychiatric Technician - 167G00000X

NPI Details
NPI 1083046395
Gender Male
Enumeration Date 08/08/2013
Last Updated 08/08/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
58945 BUSINESS CENTER DR
SUITE D
YUCCA VALLEY CA, 92284-7307, US
Phone (760) 228-9657
Fax (760) 369-6758
Business Location
2181 N BEECHWOOD AVE
RIALTO CA, 92377-8223, US
Phone (909) 534-5823
Fax
Toxanomy
Taxonomy Code 167G00000X
License State California
License Number PT36324
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According to our database, Mr. Jeremy Scott Bard LPT NPI is 1083046395, taxonomy code is 167G00000X and license number is PT36324, license state is located at California. Jeremy Scott Bard LPT physically located at 58945 Business Center Dr, Yucca Valley CA, 92284-7307. NPI Number Jeremy Scott Bard LPT has the Individual type.

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1083046395 NPI number is provided on an as is basis without warranty of any kind. 1083046395 is maintained by the National Plan & Provider Enumeration System. The contents of Jeremy Scott Bard LPT are for informational purposes only.