Tyler Andrew State, LVN
NPI #1235898818 in Joshua Tree, California
Provider Information
- NPI Number
- 1235898818
- Entity Type
- Individual
- Name
- Tyler Andrew State, LVN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Vocational Nurse
- Credential
- LVN
- Enumeration Date
- Dec 10, 2021
- Last Updated
- Dec 10, 2021
Practice Location
- Address
- 60805 29 PALMS HWY
- City
- Joshua Tree
- State
- California
- ZIP Code
- 92252-5901
- Phone
- (760) 974-5990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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