Individual
TINA D DUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14012 S KALSMAN AVE, COMPTON, CA 90222-3712
(323) 239-7487
Mailing address
3230 W 43RD PL, LOS ANGELES, CA 90008-5254
(323) 239-7487
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
198320293
CA
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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