Tina Marie Blythe
Specialist in Fairfield, CA. Individual provider (NPI-1).
NPI number1689825762
StatusActive
Last updated in NPPESJun 29, 2021
Details
- NPI
- 1689825762
- Entity type
- Individual (NPI-1)
- Name
- Ms. Tina Marie Blythe
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 7, 2008
- Certification date
- Jun 7, 2021
- Last updated
- Jun 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 138 | CA | Yes |
Practice location
2560 N Texas St Ste JFairfield, CA 94533-1649
Phone 707-330-6949 · Fax 707-425-2543
Mailing address
2560 N Texas St Ste JFairfield, CA 94533-1649
Phone 707-330-6949 · Fax 707-425-2543
Other practice locations
801 Empire St
Fairfield, CA 94533-5702
Fairfield, CA 94533-5702
Phone 707-425-5744 · Fax 707-425-5162
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All 26 Specialist providers in Fairfield · All 4,218 providers in Fairfield
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