Individual
MR. RICHARD NICHOLS TINNEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-8700
Mailing address
4490 WINDING RIVER CIR, STOCKTON, CA 95219-8258
(209) 271-9208
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37705
CA
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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