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Organization
TIAMSON INC
Active
Organization
TIAMSON INC
Active
Other names
Shylee Skin Wellness and Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
SHYLEE BAUSTISTA TIAMSON NP (AUTHORIZED OFFICE / OWNER)
(909) 808-4888
Entity
Organization
Contact information
Practice address
10570 FOOTHILL BLVD STE 220, RANCHO CUCAMONGA, CA 91730-3876
(909) 808-4888
Mailing address
10570 FOOTHILL BLVD STE 220, RANCHO CUCAMONGA, CA 91730-3876
(909) 808-4888
Taxonomy
Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
02/08/2023
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