Individual
JUDY TATARYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1064 SERPENTINE LN STE B, PLEASANTON, CA 94566-4702
(925) 226-2884
(925) 734-9600
Mailing address
2393 LINCOLN VILLAGE DR, SAN JOSE, CA 95125-2750
(408) 448-6140
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
385984
CA
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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