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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. TINA MARIE SUDDUTH, REGISTERED NURSE

Active Sole Proprietor

Neonatal Nurse · HESPERIA, CA

Registration Details

NPI Number
1134424781
Provider Type
Individual
Gender
Female
NPI Issued
Jan 12, 2011 (15.272483658028 yrs)
Last Updated
Jan 12, 2011
License
396021 (CA)
Sole Proprietor
Yes

Practice Information

Address
14191 YALE ST
HESPERIA, CA, 923448290
Browse CA providers · Browse ZIP 92344
Phone
9098551545
Primary Specialty
Neonatal Nurse
163WN0003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.