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NPI Code Detail

MEDICARE: MRS. TAMMY LYNN QUINN

MEDICARE: MRS. TAMMY LYNN QUINN
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1I8531304OTHERCARADI

General Provider Information

NPI Number : 1528197530
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAMMY LYNN QUINN
Provider Business Mailing Address
First Line : 1251 E ONSTOTT RD
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-2439
Country : US
Telephone Number : 530-822-7263
Fax Number : 530-822-7267
Provider Business Practice Location Address
First Line : 1251 E ONSTOTT RD
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-2439
Country : US
Telephone Number : 530-822-7263
Fax Number : 530-822-7267
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. TAMMY LYNN QUINN ” Practice Location

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