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Contact Information

TYLESHA ADDO
4295 BROCKTON AVE
RIVERSIDE, CA92501-3446
 Phone: 951-683-6596
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Psychiatric Technician

167G00000X
Indicates primary specialty

NPI Profile & details for TYLESHA ADDO · (Female)

NPI Number 1699102095
Status Active
Credentials
Entity Individual
Enumeration date 09/30/2013
Last updated 09/06/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 35813
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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