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Search › California › 171M00000X

Jacob Tanner

NPI 1467772806 · on the registry since 2010 · sole proprietor

Practice

Address
13800 Heacock St Ste C236
Moreno Valley, CA 92553
Phone
(951) 656-2614
Organisation at this address
Epidaurus
Mary Cox, Lmft
Pacific Clinics
Spring Creek Oasis
County Of Riverside
Inferred from a shared address, not stated in the registry.
Clinicians at this address
77

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
101YM0800X
Sex
Male
Record last updated
2011-03-24

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