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Contact Information

TINA M SUDDUTH, REGISTERED NURSE
14191 YALE ST
HESPERIA, CA92344-8290
 Phone: 909-855-1545
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal, Low-Risk

163WN0003X
Indicates primary specialty

NPI Profile & details for TINA M SUDDUTH · (Female)

NPI Number 1134424781
Status Active
Credentials REGISTERED NURSE
Entity Individual
Enumeration date 01/12/2011
Last updated 01/12/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 396021
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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