| NPI | 1548631526 |
|---|---|
| Former Name | CAMILYN TINOCO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 6236) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 6236) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2023-03-13 |