Individual
SKYLAR TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5310 BALL CAMP PIKE, KNOXVILLE, TN 37921-3234
(865) 539-2409
Mailing address
201 W SPRINGDALE AVE, KNOXVILLE, TN 37917-5158
(865) 637-9711
(865) 637-4362
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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