Individual
ERICA HIDE TINAJERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 NEEDHAM ST, MODESTO, CA 95354-0730
(209) 569-0373
Mailing address
1001 NEEDHAM ST, MODESTO, CA 95354-0730
(209) 569-0373
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
05/15/2025
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