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Organization

TANIKA ROSS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TANIKA JIMATA ROSS ASW (MASTER'S SOCIAL WORKER)
(707) 514-9412
Entity
Organization

Contact information

Practice address
1106 ARAQUIPA CT, VACAVILLE, CA 95687-6571
(707) 514-9412
Mailing address
1106 ARAQUIPA CT, VACAVILLE, CA 95687-6571
(707) 514-9412

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
01/12/2016
Last updated
01/12/2016
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