Individual
TATYANA VINNICHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 878-6364
Mailing address
1288 GRAND JUNCTION WAY, ROSEVILLE, CA 95747-9285
(916) 878-6364
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
23507
CA
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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