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Individual

THERESA N HINTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3556 EL CAMINO REAL, ATASCADERO, CA 93422-2532
(805) 461-6080
Mailing address
3556 EL CAMINO REAL, ATASCADERO, CA 93422-2532
(805) 461-6080

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
B5905432
CA

Other

Enumeration date
07/26/2018
Last updated
07/26/2018
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