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TINA C MCCREARY
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1083768881
Individual Registrant: TINA C MCCREARY
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1511 19TH STREET OCEANO, CA 93445 US
Tel: 805-473-4242 Fax: --
Tel: 805-473-4242 Fax: --
Contact information for business:
PO BOX 1118 TEMPLETON, CA 93465-1118 US
Tel: 805-238-0975 Fax: --
Tel: 805-238-0975 Fax: --
Registration Information:
NPI: 1083768881
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 390200000X | Student Organized Health Care Education/Training Program |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
