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Individual

MRS. DIANA TATARKHANOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
301 INDUSTRIAL RD, SAN CARLOS, CA 94070-2603
(650) 596-4240
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 596-4240

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95017987
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
NP95017987
CA

Other

Enumeration date
09/01/2021
Last updated
05/24/2022
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