Individual
TYLER WARREN HUESCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 N BELLFLOWER BLVD, LONG BEACH, CA 90840-0004
(562) 985-4111
Mailing address
2722 BLUME DR, LOS ALAMITOS, CA 90720-4703
(562) 370-5059
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
390200000X
CA
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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