Individual
LARRY DESHAWN TANNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 BARNEY RD, ANDERSON, CA 96007-4301
(916) 642-7800
Mailing address
1901 BARNEY RD, ANDERSON, CA 96007-4301
(916) 642-7800
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
09/08/2025
Last updated
03/25/2026
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