Individual
CHAD TIRADEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23645 PROSPECT VALLEY DR, DIAMOND BAR, CA 91765-1635
(949) 433-3206
Mailing address
23645 PROSPECT VALLEY DR, DIAMOND BAR, CA 91765-1635
(949) 433-3206
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D8719994
CA
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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