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Individual

TANYA LYCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
113 E F ST, TEHACHAPI, CA 93561-1710
(661) 823-9347
Mailing address
107 S MILL ST STE B, TEHACHAPI, CA 93561-1619
(661) 823-9347

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CA

Other

Enumeration date
07/02/2020
Last updated
07/02/2020
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