Most Relevant Information
Provider Data
| NPI Number: | 1003432147 |
| Provider Name: | JOSEFINA TINAJERO |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/24/2020 |
| Last Updated: | 06/24/2020 |
Provider Practice Location
2632 SW PORT ST LUCIE BLVD
PORT SAINT LUCIE
FL
349532845
Practice Location Phone/Fax
| Phone: | 7728738811 |
| Fax: |
Provider Mailing Location
518 SW PRIMA VISTA BLVD
PORT SAINT LUCIE
FL
349838734
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |