Individual
TINA DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 PACIFIC AVE, STOCKTON, CA 95211-0110
(818) 280-7492
Mailing address
1472 S WILSHIRE AVE, MOUNTAIN HOUSE, CA 95391-1466
(818) 280-7492
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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