Individual
TAMARA SUE STANIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDCES
Contact information
Practice address
215 N. FRESNO STREET, SUITE 370, FRESNO, CA 93701
(559) 459-4543
(559) 459-1524
Mailing address
2940 SAN JOSE AVE, CLOVIS, CA 93611-6972
(559) 977-6899
(559) 459-1524
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
377376
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
377376
CALIFORNIA BOARD OF REGISTERED NURSING
CA
Enumeration date
04/29/2020
Last updated
04/29/2020
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