TATIANA MIMS

LODI, CA
NPI1821826462
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TS0200X Psychologist, School
(Licence: CA  220122388)
Enumeration Date2024-07-24
Last Update Date2024-07-24
Business Address
TATIANA MIMS PPS
1111 W CENTURY BLVD
LODI, CA 95240-6605
Phone number: 209-331-7990
Mailing Address
TATIANA MIMS PPS
1848 COLOMBARD CIR
LODI, CA 95240-6172
Phone number: 209-565-7716
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