Individual
MRS. TERRI LEA TALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3160 FRUITLAND DR, VISTA, CA 92084-1506
(760) 390-6406
Mailing address
3160 FRUITLAND DR, VISTA, CA 92084-1506
(760) 390-6406
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N3814940
DRIVER LICENSE
CA
Enumeration date
10/21/2022
Last updated
10/21/2022
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