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Individual

TINA ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1224 VINE ST., LOS ANGELES, CA 90038
(310) 769-6177
Mailing address
1224 VINE ST., LOS ANGELES, CA 90038
(310) 769-6177

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
522878
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
522878
REG NURSING LICENSE
CA
Enumeration date
07/02/2007
Last updated
02/08/2008
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