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Deranee Pearl Tabor
NPI 1245100668 · on the registry since 2025
Practice
- Address
- 541 S Ham Ln Ste A&B
Lodi, CA 95242 - Phone
- (209) 224-8940
- Organisation at this address
- Delta Radiology, Inc.
Aegis Treatment Centers, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 39
Registry record
- Primary taxonomy
- Licensed Practical Nurse
164W00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-03
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