Individual
JAYNE LOUISE TINOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CIRBY HILLS DR, ROSEVILLE, CA 95678-4360
(916) 787-8829
Mailing address
1252 MERCEDES DR, ROSEVILLE, CA 95747-8507
(916) 412-6021
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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