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Individual

DR. JANE CHIYOKO TANAKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
15725 SNUZ MOUNTAIN RD, RAMONA, CA 92065-7331
(760) 788-2445
(760) 788-2494
Mailing address
15725 SNUZ MOUNTAIN RD, RAMONA, CA 92065-7331
(760) 788-2445
(760) 788-2494

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G68725
CA
2084P0804X
Child & Adolescent Psychiatry Physician
G68725
CA

Other

Enumeration date
08/17/2006
Last updated
11/14/2013
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