Individual
MR. BILLY JOHN TIOSECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1333 CHESTNUT AVE, LONG BEACH, CA 90813-2944
(562) 753-2478
Mailing address
1333 CHESTNUT AVE, LONG BEACH, CA 90813-2944
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
733814
CA
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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