Individual
TYRONE DURANTE TALBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1352 PROSPECT DR, REDLANDS, CA 92373-7050
(951) 317-7474
Mailing address
1030 OAK LEAF DR, COLTON, CA 92324-4544
(951) 317-7474
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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