Tanya Roberts

NPI 1912042375 - Counselor - 101YP2500X

NPI Details
NPI 1912042375
Gender Female
Enumeration Date 02/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1300 W LODI AVE
SUITE A-5
LODI CA, 95242-3000, US
Phone (209) 401-2134
Fax
Business Location
1300 W LODI AVE
SUITE A-5
LODI CA, 95242-3000, US
Phone
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State California
License Number 20414
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According to our database, Tanya Roberts NPI is 1912042375, taxonomy code is 101YP2500X and license number is 20414, license state is located at California. Tanya Roberts physically located at 1300 W Lodi Ave, Lodi CA, 95242-3000. NPI Number Tanya Roberts has the Individual type.

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1912042375 NPI number is provided on an as is basis without warranty of any kind. 1912042375 is maintained by the National Plan & Provider Enumeration System. The contents of Tanya Roberts are for informational purposes only.