| Doctor Name: | MRS. JOLENE MARIE TINLIN |
| NPI Number: | 1639242688 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.M.T. |
| License Number: | MT-02942P |
| Business Practice Address: | 1059 E Broadway Rd Mesa, AZ - 852042153 |
| Business Phone Number: | 4808338003 |
| Business Fax Number: | 4809626384 |
| Mailing Address: | 770 E San Carlos Way, CHANDLER |
| State: | AZ |
| Postal Code: | 852493044 |
| Phone Number: | 4808024878 |
| Fax Number: | |
| NPI Enumeration Date: | 11/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | MT-02942P |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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. |