Individual
ELIZABETH JULIA ANN TYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1079 EUCALYPTUS, SUITE B, MANTECA, CA 95337
(209) 823-2107
(209) 823-0563
Mailing address
1079 EUCALYPTUS, SUITE B, MANTECA, CA 95337
(209) 823-2107
(209) 823-0563
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA7799
CA
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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