Individual
MISS JUSTINE NICOLE TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1251A BELMONT AVE, VALLEJO, CA 94591-8080
(707) 655-5237
Mailing address
1251A BELMONT AVE, VALLEJO, CA 94591-8080
(707) 655-5237
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
A1773928
CA
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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