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Jerry Tyner
NPI 1851704407 · on the registry since 2014 · sole proprietor
Practice
- Address
- 17350 Mount Herrmann St Ste A
Fountain Valley, CA 92708 - Phone
- (714) 444-3463
- Fax
- (714) 444-1768
- Organisation at this address
- Lds Family Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 20
Registry record
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program
390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-06-10
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