Tina M Enwall, C.P.R.P.

NPI #1649420597 in Huntington Park, California

Provider Information

NPI Number: 1649420597
Entity Type: Individual
Name: Tina M Enwall, C.P.R.P.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: C.P.R.P.
Enumeration Date: Sep 29, 2008
Last Updated: Sep 14, 2023

Practice Location

Address: 2677 ZOE AVE STE 304
City: Huntington Park
State: California
ZIP Code: 90255-3699
Phone: (323) 346-0960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Rehabilitation Practitioner	225400000X
Peer Specialist	175T00000X	Primary

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