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Individual

TINA M MORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3801 KATELLA AVE, STE. 101, LOS ALAMITOS, CA 90720-3338
(562) 598-8593
(562) 594-0877
Mailing address
3801 KATELLA AVE, STE. 101, LOS ALAMITOS, CA 90720-3338
(562) 598-8593
(562) 594-0877

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA16560
CA

Other

Enumeration date
09/13/2012
Last updated
09/13/2012
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