Individual
TYLER AUGENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
533 NEWPORT AVE APT 2, LONG BEACH, CA 90814-4764
(951) 490-8112
Mailing address
533 NEWPORT AVE APT 2, LONG BEACH, CA 90814-4764
(951) 490-8112
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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