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Individual
STACY TRICIA TANAKA
Active
Individual
STACY TRICIA TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
A83339
CA
208800000X
Urology Physician
MD44860
TN
2088P0231X
Pediatric Urology Physician
Primary
44860
TN
Other
Enumeration date
02/24/2006
Last updated
03/29/2022
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