Most Relevant Information
Provider Data
NPI Number: | 1003448754 |
Provider Name: | JENE NICOLE HINTON-RAILSBACK |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 02/11/2020 |
Last Updated: | 01/16/2024 |
Provider Practice Location
2180 JOHNSON AVE
SAN LUIS OBISPO
CA
934014558
Practice Location Phone/Fax
Phone: | 8053054028 |
Fax: |
Provider Mailing Location
2180 JOHNSON AVE
SAN LUIS OBISPO
CA
934014558
Provider Mailing Phone/Fax
Phone: | |
Fax: |