Tamika Ezell

NPI 1336578376 · on the registry since 2013 · sole proprietor

Practice

Address: 1053 N D St
Bldg. A
San Bernardino, CA 92410
Phone: (909) 763-5507
Fax: (909) 884-9035
Organisation at this address: Rosemary Children'S Services
Victor Treatment Centers, Inc
Victor Treatment Centers, Inc.
Victor Treatment Centers, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 28

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-01-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California