Sudduth, Tina Marie

Sudduth, Tina Marie is an sole proprietor health care provider with primary practice located at 14191 Yale St , Hesperia CA 92344-8290. She recently has only one registered license in Nursing Service Providers / Neonatal, Low-Risk, which is considered as her primary health care specialty. Sudduth, Tina Marie can be contacted via phone (909) 855-1545.

Contact Information

Primary practice address
14191 Yale St Hesperia CA 92344-8290
Phone: (909) 855-1545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neonatal, Low-Risk 163WN0003X 396021 California

Profile Details

NPI number 1134424781
LBN Legal business name Sudduth, Tina Marie
Credentials REGISTERED NURSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2011
Last updated Jan 12th, 2011 - about 13 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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