Individual
TIFFANY LOAN DINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4422 N PERSHING AVE, STOCKTON, CA 95207-6954
(209) 953-8864
Mailing address
4422 N PERSHING AVE, STOCKTON, CA 95207-6954
(209) 953-8864
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
716431
CA
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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