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TINA M CARTER LVN

>> Licensed Vocational Nurse >> Nursing Service Providers

Registrant NPI Number: 1740522267

Individual Registrant:
 TINA M CARTER LVN
Gender: F
Sole Proprietor

Location and contact information for practice:
11950 BERKELEY DR  YUCAIPA, CA 92399-3924 US
Tel: 909-790-7906  Fax: 909-907-0728

Contact information for business:
PO BOX 1931  YUCAIPA, CA 92399-1453 US
Tel: 909-790-7906  Fax: 909-907-0728

Registration Information:
NPI: 1740522267
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164X00000XNursing Service Providers
Licensed Vocational Nurse
CA272191

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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