Enwall, Tina M

Enwall, Tina M is an individual health care provider with primary practice located at 2677 Zoe Ave Ste 304 , Huntington Park CA 90255-3699. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Enwall, Tina M can be contacted via phone (323) 346-0960.

Contact Information

Primary practice address
2677 Zoe Ave Ste 304 Huntington Park CA 90255-3699
Phone: (323) 346-0960
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Other Service Providers / Peer Specialist 175T00000X MPSS-FHADQE California

Profile Details

NPI number 1649420597
LBN Legal business name Enwall, Tina M
Credentials C.P.R.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2008
Last updated Sep 14th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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