Individual
ADRIANNA ALEXIS TAMAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
612 S MYRTLE AVE STE 100, MONROVIA, CA 91016-3406
(626) 775-7888
Mailing address
14626 SUNFLOWER CT, ADELANTO, CA 92301-4270
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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