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Tanya Stallworth
NPI 1184221152 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1625 Julia St
Berkeley, CA 94703 - Phone
- (510) 717-8591
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California