Individual
DR. JACK RAY ALVORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
CCI, END OF HWY 202, TEHACHAPI, CA 93561
(661) 822-4402
Mailing address
1282 EL RANCHO DRIVE, TEHACHAPI, CA 93561
(661) 823-7152
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 15227
CA
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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