Individual
TANYA S NINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2501 E CHAPMAN AVE, ORANGE, CA 92869-3204
(714) 633-1011
Mailing address
2501 E CHAPMAN AVE, ORANGE, CA 92869-3204
(714) 633-1011
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A110129
CA
Other
Enumeration date
08/27/2008
Last updated
06/24/2013
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