Individual
DR. INNA TARASULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4601 DALE RD, 3RD FLOOR, MODESTO, CA 95356-9718
(209) 735-3108
Mailing address
2920 DEER HOLLOW LN, LIVERMORE, CA 94550-9639
(925) 989-4271
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A111840
CA
Other
Enumeration date
08/05/2007
Last updated
02/11/2022
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