Tyda Viveros
NPI #1063946002 in Stockton, California
Provider Information
- NPI Number
- 1063946002
- Entity Type
- Individual
- Name
- Tyda Viveros
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Psychiatric Technician
- Enumeration Date
- Apr 17, 2017
- Last Updated
- Apr 17, 2017
Practice Location
- Address
- 1111 N EL DORADO ST
- City
- Stockton
- State
- California
- ZIP Code
- 95202-1305
- Phone
- (209) 938-0228
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Psychiatric Technician |
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