Individual
ASIA TINNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
127 GREEN POINT LN, PORTSMOUTH, VA 23702-2419
(757) 448-0140
Mailing address
127 GREEN POINT LN, PORTSMOUTH, VA 23702-2419
(757) 448-0140
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
0002091136
VA
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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