Individual
DIANE TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1380 HOWARD ST, SAN FRANCISCO, CA 94103-2638
(628) 754-9252
Mailing address
1380 HOWARD ST, SAN FRANCISCO, CA 94103-2638
(628) 754-9252
Taxonomy
Speciality
Code
Description
License number
State
246YR1600X
Registered Record Administrator
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
05/20/2019
Last updated
03/17/2026
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