Search › California › 103TS0200X
Tatiana Mims, PPS
NPI 1821826462 · on the registry since 2024
Practice
- Address
- 1111 W Century Blvd
Lodi, CA 95240 - Phone
- (209) 331-7990
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-24
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