Individual
TESSA CHRISTINE DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., ATC
Contact information
Practice address
5151 PACIFIC AVE, STOCKTON, CA 95207-6304
(209) 954-5181
Mailing address
4611 ROADRUNNER DR, IONE, CA 95640-9752
(209) 418-5144
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/02/2019
Last updated
09/02/2019
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