Individual
TANYA MARIE POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 528-5000
Mailing address
1644 MARITIME DR, CARLSBAD, CA 92011-4077
(858) 699-2068
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
686863
CA
Other
Enumeration date
11/26/2012
Last updated
11/07/2016
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