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Individual

DR. TANYA LEE ESCOBEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.D

Contact information

Practice address
61 RENATO CT, REDWOOD CITY, CA 94061-4093
(650) 271-9453
(702) 819-7008
Mailing address
61 RENATO CT, REDWOOD CITY, CA 94061-4093
(650) 271-9453
(702) 819-7008

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND-562
CA
207Q00000X
Family Medicine Physician
ND 562
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NDF562
DRUG FURNISHING
CA
Enumeration date
01/08/2013
Last updated
05/31/2016
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