Mims, Tatiana

Mims, Tatiana is an individual health care provider with primary practice located at 1111 W Century Blvd , Lodi CA 95240-6605. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Mims, Tatiana can be contacted via phone (209) 331-7990.

Contact Information

Primary practice address
1111 W Century Blvd Lodi CA 95240-6605
Phone: (209) 331-7990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 220122388 California

Profile Details

NPI number 1821826462
LBN Legal business name Mims, Tatiana
Credentials PPS
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2024
Last updated Jul 24th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers