Individual
TANISHA R TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9224 SUNNYSIDE ST APT 10, OAKLAND, CA 94603-1762
(415) 378-2014
Mailing address
9224 SUNNYSIDE ST APT 10, OAKLAND, CA 94603-1762
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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