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NPI Code Detail

MEDICARE: MS. TINA LOUISE LA PERLE

MEDICARE: MS. TINA LOUISE LA PERLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1851455927
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TINA LOUISE LA PERLE
Provider Business Mailing Address
First Line : 2686 SPRING ST
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94063-3522
Country : US
Telephone Number : 650-368-3345
Fax Number : 650-368-9017
Provider Business Practice Location Address
First Line : 2686 SPRING ST
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94063-3522
Country : US
Telephone Number : 650-368-3345
Fax Number : 650-368-9017
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2006
Last Update Date : 07/08/2007

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Directions to “ MS. TINA LOUISE LA PERLE ” Practice Location

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