Individual provider · Type 1 NPI
Tina Marie Blythe
Specialist · Fairfield, CA
NPI number
1689825762
Active
Practice location
2560 N Texas St Ste J
Fairfield, CA 94533-1649
Fax (707) 425-2543
Other practice locations
- 801 Empire St, Fairfield, CA 94533-5702 · (707) 425-5744
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 138 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 other providers at this address
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About NPI 1689825762
Tina Marie Blythe's National Provider Identifier is 1689825762, issued on Oct 7, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fairfield, CA. The record was last updated on Jun 29, 2021.