Individual
NATHAN LYTLE-PINHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AYURVEDIC PRACTIONER
Contact information
Practice address
2904 5TH ST, CERES, CA 95307-3318
(209) 241-1932
Mailing address
2904 5TH ST, CERES, CA 95307-3318
(209) 241-1932
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
310400000X
Assisted Living Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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