Individual
DINA TUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
932 S TEAKWOOD AVE, BLOOMINGTON, CA 92316-4147
(951) 544-5793
Mailing address
932 S TEAKWOOD AVE, BLOOMINGTON, CA 92316-4147
(951) 544-5793
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/18/2019
Last updated
09/30/2019
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