Tyrone Smith

NPI # 

Practice Address:

50249 Cesar Chavez St Ste K

Coachella, CA, 92236-1530

Practice Phone:

760-393-0555

Practice Fax:

760-393-0522

License Number:

95015797

License State:

CA

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Psychiatric/Mental Health

Taxonomy Code:

363LP0808X

Updated by NPPES on 12/31/2021. You can view the original data set for NPI # 1548729080 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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