Miss TYLESHA ADDO
Individual Provider (NPI-1)
Active
Licensed Psychiatric Technician
Provider Information
- NPI Number
1699102095- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 4295 BROCKTON AVE, RIVERSIDE, CA, 925013446
- Phone
- (951) 683-6596
Specialties & Taxonomies
Licensed Psychiatric Technician
Primary License: CA #35813