Individual
IVAN MANUEL TINOCO MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-5801
Mailing address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-5801
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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