# JANINE M TALTY DO INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982842233
- **Authorized official:** DR. JANINE MARIE TALTY D.O. (PHYSICIAN)
- **Authorized official phone:** (831) 724-3473

## Contact information

- **Practice address:** 50 PENNY LN, WATSONVILLE, CA 95076-3079
- **Practice address phone:** (831) 722-5505
- **Mailing address:** 50 PENNY LN, WATSONVILLE, CA 95076-3079
- **Mailing address phone:** (831) 724-3473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 20A6830 | CA | Yes |

## Other

- **Enumeration date:** 01/25/2009
- **Last updated:** 03/23/2009