Individual
MS. ALLYSON MARIA TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., P.H.N.
Contact information
Practice address
1360 JOHNSON BLVD STE 103, SOUTH LAKE TAHOE, CA 96150-8201
(530) 573-3027
Mailing address
843 CLEMENT ST, SOUTH LAKE TAHOE, CA 96150-6329
(530) 544-6636
Taxonomy
Speciality
Code
Description
License number
State
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
Primary
517796
CA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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