Individual
MRS. TINA MARIE DJUDJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1319 LINDEN DR, CONCORD, CA 94520-4017
(925) 525-1630
Mailing address
1319 LINDEN DR, CONCORD, CA 94520-4017
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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