Individual
MS. TINA MARIE LOUISE VANWOLBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
597 CENTER AVE, SUITE 150, MARTINEZ, CA 94553-4640
(925) 646-5179
(925) 646-5201
Mailing address
597 CENTER AVE, SUITE 150, MARTINEZ, CA 94553-4640
(925) 646-5179
(925) 646-5201
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
556269
CA
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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