TYLER ETHERTON

Peer Specialist

Active Individual
NPI: 1306620125

Practice Address

3125 MYERS ST
Riverside, CA 92503

Phone: (951) 358-6462

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X No -
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1306620125 is the National Provider Identifier for TYLER ETHERTON, a Peer Specialist provider located in Riverside, CA. This NPI was enumerated on August 22, 2023.
TYLER ETHERTON practices at 3125 MYERS ST, Riverside, CA 92503.

Quick Facts

NPI
1306620125
Type
Individual
Enumerated
Aug 22, 2023
Last Updated
Jan 16, 2024

Nearby Providers