Individual
TYRONE PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 N PARKER ST, ORANGE, CA 92868-1323
(562) 316-5397
Mailing address
223 E MOUNTAIN VIEW ST, LONG BEACH, CA 90805-6439
(562) 316-4397
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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