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Tanya Roberts
NPI 1912042375 · on the registry since 2007 · sole proprietor
Practice
- Address
- 404 W Pine St Ste 1
Lodi, CA 95240 - Phone
- (209) 401-2134
- Organisation at this address
- Matthew Fava
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YP2500X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-04
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