Individual
DR. TANYA K MAHAPHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2291 SOSCOL AVE, NAPA, CA 94558-3620
(707) 253-7111
(707) 253-7192
Mailing address
2291 SOSCOL AVE, NAPA, CA 94558-3620
(707) 253-7111
(707) 253-7192
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
12138TPA
CA
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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