Search › California › 171M00000X
Tina Favre
NPI 1467657650 · on the registry since 2007
Practice
- Address
- 12188 Hesperia Rd
Victorville, CA 92395 - Phone
- (760) 477-2199
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YA0400X
172V00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California