Individual
VONDA M TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4244 YANCEYVILLE RD, BROWNS SUMMIT, NC 27214-9619
(336) 340-5402
Mailing address
415 PISGAH CHURCH RD # 147, GREENSBORO, NC 27455-2590
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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