Individual
MS. BARBARA HITOMI TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
11515 EL CAMINO REAL, SUITE 100, SAN DIEGO, CA 92130-3038
(858) 794-6363
Mailing address
5705 FRIARS RD UNIT 2, SAN DIEGO, CA 92110-1805
(408) 891-4653
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
20796
CA
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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