Individual
TINA NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38072 CIMA MESA DR, PALMDALE, CA 93552-3469
(661) 547-4640
(888) 761-8705
Mailing address
38072 CIMA MESA DR, PALMDALE, CA 93552-3469
(661) 547-4640
(888) 761-8705
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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