Individual
TANISHA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5055 BUSINESS CENTER DR., STE 108 132, FAIRFIELD, CA 94534-1643
(678) 471-6663
Mailing address
5055 BUSINESS CENTER DR., STE 108, 132, FAIRFIELD, CA 94534-1643
(678) 471-6663
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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