TRINA HEALTH MTN LLC

BRENTWOOD, TN
NPI1134641228
Doing Business AsTRINA HEALTH OF MT. LAUREL
Doing Business AsTRINA DIABETES HEALTH CENTER
Entity TypeOrganization
Authorized ContactDEANE' WALLACE
Credentialing Specialist
916-571-9041
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
Additional Taxonomies207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
Enumeration Date2017-07-11
Last Update Date2017-07-18
Business Address
TRINA HEALTH MTN LLC
1195 OLD HICKORY BLVD STE 202
BRENTWOOD, TN 37027-4239
Phone number: 916-550-1050
Mailing Address
TRINA HEALTH MTN LLC
4441 AUBURN BLVD STE J
SACRAMENTO, CA 95841-4139
Phone number: 916-550-1050