Individual
ERNEST PAUL TINNIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3440 E RUSSELL RD # 211, LAS VEGAS, NV 89120-2201
(702) 646-5437
(702) 396-4193
Mailing address
3440 E RUSSELL RD # 211, LAS VEGAS, NV 89120-2201
(702) 960-5484
(702) 214-4289
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
11/11/2010
Last updated
01/16/2020
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