Tyler Nighbor

NPI 1235486374 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1235486374
Gender Male
Enumeration Date 08/08/2012
Last Updated 08/08/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
STOCKTON CA, 95211-0110, US
Phone (209) 460-3875
Business Location
643 1/2 W POPLAR ST
STOCKTON CA, 95203-2339, US
Taxonomy Code 390200000X
License State
License Number
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According to our database, Mr. Tyler Nighbor NPI is 1235486374, taxonomy code is 390200000X Tyler Nighbor physically located at 3601 Pacific Ave, Stockton CA, 95211-0110. NPI Number Tyler Nighbor has the Individual type.

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1235486374 NPI number is provided on an as is basis without warranty of any kind. 1235486374 is maintained by the National Plan & Provider Enumeration System. The contents of Tyler Nighbor are for informational purposes only.