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Tyler Cantu

Community Health Worker in Van Nuys, CA. Individual provider (NPI-1).

NPI number1396584231
StatusActive
Last updated in NPPESMay 21, 2024

Details

NPI
1396584231
Entity type
Individual (NPI-1)
Name
Tyler Cantu
Sex
Female
Sole proprietor
No
Enumeration date
May 21, 2024
Certification date
May 21, 2024
Last updated
May 21, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

6245 Kester Ave Apt 35
Van Nuys, CA 91411-2171

Phone 951-322-0350

Mailing address

6245 Kester Ave Apt 35
Van Nuys, CA 91411-2171

Phone 951-322-0350

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